15 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2d tee w or w/o fol w/con,in (C8925) |
$1,354.71 |
$2,402.70 |
1.8× |
| Admin influenza virus vac (G0008) |
$80.91 |
$143.50 |
1.8× |
| Drug test def 1-7 classes (G0480) |
$109.52 |
$194.25 |
1.0× |
| Drug test def 8-14 classes (G0481) |
$303.90 |
$539 |
1.9× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
$281.91 |
$500 |
1.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) |
$54,243.92 |
$96,206.20 |
1.8× |
| Interrog dev eval impl ccm-d system in person (0927T) |
$73.30 |
$130 |
2.0× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$457.55 |
$811.50 |
0.8× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) |
$19,949.82 |
$35,382.70 |
1.8× |
| Programming device eval impl ccm-d sys in person (0926T) |
$73.86 |
$131 |
2.1× |
| Psa screening (G0103) |
$96.41 |
$171 |
5.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) |
$6,887.18 |
$12,215 |
1.9× |
| Rmvl substernal implantable defibrillator eltrd (0573T) |
$6,887.18 |
$12,215 |
1.9× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) |
$6,887.18 |
$12,215 |
1.9× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) |
$41,001.70 |
$72,720 |
1.9× |