Peritoneal lavage, including imaging guidance, when performed (CPT 49084)
49084 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
32 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Foothills Hospital | Boulder, CO | $103.50 | $207 | $967.38 | 0.1× |
| East Morgan County Hospital | Brush, CO | $115.19 | $229 | $956.76 | 0.1× |
| Prowers Medical Center | Lamar, CO | $195 | $325 | $956.76 | 0.2× |
| St. John's Medical Center | Jackson, WY | $258 | $258 | $926.63 | 0.3× |
| Memorial Hospital of Carbon County | Rawlins, WY | $321 | $428 | $926.63 | 0.3× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $378.60 | $1,262 | $956.76 | 0.4× |
| Washakie Medical Center | Worland, WY | $384.78 | $650.50 | $926.63 | 0.4× |
| Platte County Hospital | Wheatland, WY | $421.27 | $650.50 | $926.63 | 0.5× |
| Longs Peak Hospital | Longmont, CO | $441.70 | $1,262 | $967.38 | 0.5× |
| UCHealth Broomfield Hospital | Broomfield, CO | $441.70 | $1,262 | $956.76 | 0.5× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $441.70 | $1,262 | $956.76 | 0.5× |
| UCHealth University of Colorado Hospital | Aurora, CO | $640.85 | $1,831 | $956.76 | 0.7× |
| Denver Health Medical Center | Denver, CO | $675.26 | $1,929.31 | $956.76 | 0.7× |
| Rio Grande Hospital | Del Norte, CO | $724.26 | $965.68 | $956.76 | 0.8× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $970.95 | $1,618.25 | $911.12 | 1.1× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $987.75 | $1,097.50 | $956.76 | 1.0× |
| UCHealth Greeley Hospital | Greeley, CO | $1,099.80 | $1,833 | $956.76 | 1.1× |
| Evanston Regional Hospital | Evanston, WY | $1,102.84 | $1,838.06 | $926.63 | 1.2× |
| Vail Health Hospital | Vail, CO | $1,218 | $1,624 | $956.76 | 1.3× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $1,240.76 | $2,067.94 | $911.12 | 1.4× |
| Poudre Valley Hospital | Fort Collins, CO | $1,283.10 | $1,833 | $956.76 | 1.3× |
| Medical Center of the Rockies | Loveland, CO | $1,283.10 | $1,833 | $956.76 | 1.3× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $1,405.80 | $3,124 | $956.76 | 1.5× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $2,200 | $2,200 | $926.63 | 2.4× |
| Valley View Hospital | Glenwood Springs, CO | $2,310.30 | $2,718 | $956.76 | 2.4× |
| AdventHealth Porter | Denver, CO | $4,927.90 | $4,927.90 | $956.76 | 5.2× |
| AdventHealth Avista | Louisville, CO | $4,927.90 | $4,927.90 | $967.38 | 5.1× |
| AdventHealth Littleton | Littleton, CO | $4,927.90 | $4,927.90 | $956.76 | 5.2× |
| AdventHealth Parker | Parker, CO | $4,927.90 | $4,927.90 | $956.76 | 5.2× |
| AdventHealth Castle Rock | Castle Rock, CO | $4,927.90 | $4,927.90 | $956.76 | 5.2× |
| Sublette County Health | Pinedale, WY | $6,059.70 | $6,733 | $926.63 | 6.5× |
| Parkland Memorial Hospital | Dallas, TX | $15,777.17 | $39,442.92 | $911.12 | 17.3× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.