Supplies, drugs & other prices at J.W. Ruby Memorial Hospital
Morgantown, WV · every code in this section with a posted price and a Medicare benchmark.
206 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$1,487.50–$1,599.50 | $2,975–$3,199 | varies |
| 2d tte w or w/o fol w/con,co (C8923) | $556 | $1,112 | 0.7× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$517–$565 | $1,034–$1,130 | varies |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) range across 7 matching MRF lines |
$2,441–$7,323 | $4,882–$14,646 | varies |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) range across 6 matching MRF lines |
$2,742–$11,182 | $5,484–$22,364 | varies |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) range across 2 matching MRF lines |
$2,494–$2,518 | $4,988–$5,036 | varies |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$13–$15 | $26–$30 | varies |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$13–$15 | $26–$30 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$13–$15 | $26–$30 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $48 | $96 | 1.3× |
| Alcohol/subs interv >30 min (G0397) | $201 | $402 | 1.2× |
| Annual alcohol screen 15 min (G0442) | $33.50 | $67 | 0.9× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $62.50 | $125 | 2.0× |
| Ascvd rsk mng clin stf pr mo (G0538) | $115.50 | $231 | 1.2× |
| Asstv alg ECG rsk asmt cncrt (0764T) | $170 | $340 | 1.3× |
| Asstv alg ECG rsk asmt prev (0765T) | $170 | $340 | 1.3× |
| Autolog prp not diab ulcer (G0460) | $2,635 | $5,270 | 1.3× |
| Behavior counsel obesity 15m (G0447) range across 3 matching MRF lines |
$56.50–$130 | $113–$260 | varies |
| Bia whole body composition assessment w/i&r (0358T) | $37 | $74 | 1.3× |
| Blind interatrial shunt ide (C9758) range across 2 matching MRF lines |
$21,876–$25,377 | $43,752–$50,754 | varies |
| Brief alcohol misuse counsel (G0443) range across 2 matching MRF lines |
$31–$56.50 | $62–$113 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $1,064 | $2,128 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$20.50–$73 | $41–$146 | varies |
| Cardiac mri seg dys strain (C9762) | $737 | $1,474 | 1.4× |
| Cardiac mri seg dys stress (C9763) | $737 | $1,474 | 1.4× |
| Catheterize for urine spec (P9612) range across 3 matching MRF lines |
$12.50–$15 | $25–$30 | varies |
| Chemo extend iv infus w/pump (G0498) range across 3 matching MRF lines |
$541–$2,960.50 | $1,082–$5,921 | varies |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) range across 3 matching MRF lines |
$3,086–$4,775 | $6,172–$9,550 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$365.33–$1,192 | $730.66–$2,384 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,288–$1,352 | $2,576–$2,704 | varies |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$81–$125 | $162–$250 | varies |
| Cysto, litho, vacuum kidney (C9761) range across 6 matching MRF lines |
$1,650.75–$8,555 | $3,301.50–$17,110 | varies |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$13–$47 | $26–$94 | varies |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $4,951.50 | $9,903 | 6.9× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$73–$199.50 | $146–$399 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$32.50–$147 | $65–$294 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$79–$85 | $158–$170 | varies |
| Drug test def 1-7 classes (G0480) range across 84 matching MRF lines |
$8.50–$256 | $17–$512 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$160–$220.50 | $320–$441 | varies |
| Drug test def 22+ classes (G0483) range across 3 matching MRF lines |
$41–$423 | $82–$846 | varies |
| Drug test def 8-14 classes (G0481) range across 3 matching MRF lines |
$20–$165.50 | $40–$331 | varies |
| Ekg tracing for initial prev (G0404) range across 3 matching MRF lines |
$55.50–$70.50 | $111–$141 | varies |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$42–$65.50 | $84–$131 | varies |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,631.50 | $3,263 | 1.4× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $1,631.50 | $3,263 | 1.4× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,737.50 | $3,475 | 1.5× |
| Endo defect closure gi tract (C9901) | $11,691 | $23,382 | 1.1× |
| Endo outlet restrict w/tube (C9785) | $11,691 | $23,382 | 1.1× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $56,250.50 | $112,501 | 1.3× |
| Esd endoscopy or colonoscopy (C9779) | $461.33 | $922.66 | 0.1× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $3,428 | $6,856 | 1.1× |
| Extrnl counterpulse, per tx (G0166) | $1,582.50 | $3,165 | 12.3× |
| Fecal microbiota prep instil (G0455) | $907 | $1,814 | 1.0× |
| Flt3 gene int tandem dupl variants quantitative (0046U) range across 2 matching MRF lines |
$2,405–$2,790 | $4,810–$5,580 | varies |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $933.50 | $1,867 | 1.3× |
| Group mnt 2 or more 30 mins (G0271) | $79 | $158 | 4.6× |
| Hbot, full body chamber, 30m (G0277) | $178.50 | $357 | 1.3× |
| High inten beh couns std 30m (G0445) | $22.50 | $45 | 0.2× |
| Hiv combination assay (G0475) range across 2 matching MRF lines |
$23–$50 | $46–$100 | varies |
| Home sleep test/type 2 porta (G0398) | $277.50 | $555 | 1.3× |
| Home sleep test/type 3 porta (G0399) | $502 | $1,004 | 2.4× |
| Hospital outpt clinic visit (G0463) range across 6 matching MRF lines |
$62.50–$129 | $125–$258 | varies |
| Hpv combo assay ca screen (G0476) range across 3 matching MRF lines |
$42.50–$71 | $85–$142 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $161 | $322 | 3.7× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$67–$159 | $134–$318 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 5 matching MRF lines |
$1,081.50–$2,527 | $2,163–$5,054 | varies |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $1,196.50 | $2,393 | 1.4× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) | $4,074.50 | $8,149 | 0.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) unusually low: confirm this is the full procedure |
$3,699 | $7,398 | 0.5× |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$9,432 | $18,864 | 0.4× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) unusually low: confirm this is the full procedure |
$3,587 | $7,174 | 0.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) unusually low: confirm this is the full procedure |
$3,587 | $7,174 | 0.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure |
$12,520 | $25,040 | 0.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) range across 2 matching MRF lines |
$11,920–$12,814 | $23,840–$25,628 | varies |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) unusually low: confirm this is the full procedure |
$3,699 | $7,398 | 0.5× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) unusually low: confirm this is the full procedure |
$3,699 | $7,398 | 0.5× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$9,843.50 | $19,687 | 0.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) range across 2 matching MRF lines |
$11,088.50–$11,920.50 | $22,177–$23,841 | varies |
| Intens behave ther cardio dx (G0446) | $48 | $96 | 1.3× |
| Intens cardiac rehab no exer (G0423) | $140 | $280 | 1.1× |
| Intens cardiac rehab w/exerc (G0422) | $140 | $280 | 1.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $55.50 | $111 | 1.5× |
| Interrog dev eval impl ccm-d system in person (0927T) | $50 | $100 | 1.4× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $55.50 | $111 | 1.5× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $457.70 | $915.40 | 0.9× |
| Mnt subs tx for change dx (G0270) | $59 | $118 | 1.9× |
| Mra w/cont, abd (C8900) | $1,420 | $2,840 | 4.2× |
| Mra w/cont, chest (C8909) range across 2 matching MRF lines |
$879–$1,027.50 | $1,758–$2,055 | varies |
| Mra w/cont, lwr ext (C8912) | $1,464.50 | $2,929 | 4.3× |
| Mra w/cont, pelvis (C8918) | $1,464 | $2,928 | 4.3× |
| Mra w/o cont, abd (C8901) | $1,169.50 | $2,339 | 5.1× |
| Mra w/o cont, lwr ext (C8913) | $1,391.50 | $2,783 | 6.0× |
| Mra w/o cont, pelvis (C8919) | $1,391 | $2,782 | 6.0× |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$882.50–$1,178 | $1,765–$2,356 | varies |
| Mra w/o fol w/cont, chest (C8911) | $879 | $1,758 | 2.6× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,300–$1,547 | $2,600–$3,094 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$1,438–$1,546 | $2,876–$3,092 | varies |
| Mra, w/dye, upper extremity (C8934) | $1,478 | $2,956 | 4.4× |
| Mra, w/o dye, upper extr (C8935) | $1,408 | $2,816 | 6.1× |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$879–$945 | $1,758–$1,890 | varies |
| Mri w/cont, breast, bi (C8906) | $2,163 | $4,326 | 6.4× |
| Mri w/cont, breast, uni (C8903) | $2,116.50 | $4,233 | 12.5× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$1,989–$2,138.50 | $3,978–$4,277 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 3 matching MRF lines |
$2,063.50–$2,218.50 | $4,127–$4,437 | varies |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) | $304.50 | $609 | 1.3× |
| N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) | $304.50 | $609 | 1.3× |
| Neuro csf prion prtn qual (0035U) range across 2 matching MRF lines |
$164.50–$202 | $329–$404 | varies |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $344.50 | $689 | 1.7× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $1,130 | $2,260 | 1.3× |
| Njx platelet plasma (0232T) range across 3 matching MRF lines |
$570.50–$5,236 | $1,141–$10,472 | varies |
| Non-blind interatrial shunt (C9760) | $39,878 | $79,756 | 1.5× |
| Non-ophthalmic fva (C9733) | $793.50 | $1,587 | 2.4× |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$19.50–$82 | $39–$164 | varies |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $310 | $620 | 1.2× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) likely a partial charge, not the full procedure |
$4,658 | $9,316 | 0.2× |
| Open tx iliac spine uni/bil (G0412) | $33,920.50 | $67,841 | 4.8× |
| Oral hiv-1/hiv-2 screen (G0435) | $229 | $458 | 19.1× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$227.50–$311.50 | $455–$623 | varies |
| Oth resp proc, indiv (G0238) | $77 | $154 | 2.8× |
| Pattern erg w/i&r (0509T) | $356 | $712 | 1.7× |
| Pef bronch ablt 3d nav ebus (C8005) | $21,876 | $43,752 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$5,637.50–$6,060.50 | $11,275–$12,121 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 3 matching MRF lines |
$5,637.50–$6,060.50 | $11,275–$12,121 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$5,637.50–$6,060.50 | $11,275–$12,121 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$9,712–$10,440.50 | $19,424–$20,881 | varies |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $8,442.50 | $16,885 | 0.7× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $8,442.50 | $16,885 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,900 | $13,800 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,900 | $13,800 | 1.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$5,152.50 | $10,305 | 0.5× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) | $10,572.50 | $21,145 | 0.6× |
| Pin service 60m per month (G0023) | $129.50 | $259 | 1.3× |
| Place device/marker, non pro (C9728) | $1,789 | $3,578 | 1.3× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$218–$234.50 | $436–$469 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$90–$131.50 | $180–$263 | varies |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) range across 2 matching MRF lines |
$48–$52.50 | $96–$105 | varies |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $49.50 | $99 | 1.4× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $55.50 | $111 | 1.5× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $52.50 | $105 | 1.5× |
| Programming device eval impl ccm-d sys in person (0926T) | $50 | $100 | 1.4× |
| Prolonged iv inf, req pump (C8957) | $538 | $1,076 | 2.6× |
| Prostate biopsy, any mthd (G0416) | $458 | $916 | 1.3× |
| Psa screening (G0103) range across 2 matching MRF lines |
$66.50–$110.50 | $133–$221 | varies |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,520 | $5,040 | 1.3× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $2,458 | $4,916 | 1.2× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $55.50 | $111 | 1.5× |
| Removal perm ccm-d system pulse generator only (0919T) | $3,637.50 | $7,275 | 1.0× |
| Removal Ss Dfb Electrode (0573T) | $3,904 | $7,808 | 1.1× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $868 | $1,736 | 1.4× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $3,904 | $7,808 | 1.1× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $831 | $1,662 | 1.4× |
| Revasc intra lithotrip-ather (C9766) | $11,763.50 | $23,527 | 0.7× |
| Revasc intra lithotrip-stent (C9765) range across 3 matching MRF lines |
$15,000–$21,208.50 | $30,000–$42,417 | varies |
| Revasc intravasc lithotripsy (C9764) range across 3 matching MRF lines |
$8,702.50–$11,400 | $17,405–$22,800 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $10,572.50 | $21,145 | 0.6× |
| Revasc lithotr-ather tib/per (C9774) | $10,572.50 | $21,145 | 0.6× |
| Revasc lithotr-stent tib/per (C9773) | $10,572.50 | $21,145 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) range across 3 matching MRF lines |
$8,493–$17,547 | $16,986–$35,094 | varies |
| Revasc lithotrip-stent-ather (C9767) | $11,763.50 | $23,527 | 0.7× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$9,843.50 | $19,687 | 0.5× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,904 | $7,808 | 1.1× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $3,904 | $7,808 | 1.1× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $3,637.50 | $7,275 | 1.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,637.50 | $7,275 | 1.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $3,637.50 | $7,275 | 1.0× |
| Rmvl Pg Compnt Wcs (0518T) | $3,904 | $7,808 | 1.1× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,904 | $7,808 | 1.1× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$9,432 | $18,864 | 0.4× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) unusually low: confirm this is the full procedure |
$9,843.50 | $19,687 | 0.5× |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$30–$105.50 | $60–$211 | varies |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$51.50–$86 | $103–$172 | varies |
| Screen pap by tech w md supv (P3000) range across 2 matching MRF lines |
$32.50–$41 | $65–$82 | varies |
| Sim ang w/prs cath rad emb (C8004) | $8,850 | $17,700 | 0.8× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $32 | $64 | 1.8× |
| Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA analysis, 23 genes, interrogation… (0022U) | $2,469 | $4,938 | 1.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$9,196 | $18,392 | 0.5× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $11,982.50 | $23,965 | 0.6× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $9,885.50 | $19,771 | 0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $14,977.50 | $29,955 | 0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,428 | $6,856 | 1.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $3,428 | $6,856 | 1.1× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $3,428 | $6,856 | 1.1× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $3,428 | $6,856 | 1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $9,885.50 | $19,771 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $9,885.50 | $19,771 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $9,885.50 | $19,771 | 0.5× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $9,885.50 | $19,771 | 0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $7,340.50 | $14,681 | 1.3× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,599.50 | $3,199 | 2.1× |
| Therapeutic procd strg endur (G0237) | $77 | $154 | 2.8× |
| Tomosynthesis, mammo (G0279) range across 6 matching MRF lines |
$35.50–$114 | $71–$228 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $694.60 | $1,389.20 | 1.5× |
| Trabeculostomy ab interno by laser (0621T) range across 2 matching MRF lines |
$998.83–$7,231.50 | $1,997.66–$14,463 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) range across 2 matching MRF lines |
$4,938–$5,308.50 | $9,876–$10,617 | varies |
| Transcatheter renal sympath denervation unilat (0338T) | $5,308.50 | $10,617 | 1.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,041–$1,119.50 | $2,082–$2,239 | varies |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$75.50–$93.50 | $151–$187 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $11,763.50 | $23,527 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$1,770–$1,903 | $3,540–$3,806 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $1,538.50 | $3,077 | 2.0× |
| Tte w or w/o fol w/cont, com (C8921) range across 2 matching MRF lines |
$517–$1,254.50 | $1,034–$2,509 | varies |
| Tte w or w/o fol w/cont, f/u (C8922) | $556 | $1,112 | 0.7× |
| Tte w or wo fol wcon,doppler (C8929) range across 4 matching MRF lines |
$1,484–$1,819 | $2,968–$3,638 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$997–$1,338 | $1,994–$2,676 | varies |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$73.50–$79.50 | $147–$159 | varies |
| Wet mounts/ w preparations (Q0111) | $28.50 | $57 | 1.5× |
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.