Intrapulmonary surfactant administj phys/qhp (CPT 94610)

94610 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.

150 of 309 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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HospitalLocationCash priceGross chargeMedicare pays× Medicare
Lakeland Regional Medical Center Lakeland, FL $29 $146 $228.67 0.1×
Foothills Hospital Boulder, CO $55.50 $111 $233.56 0.2×
Mease Dunedin Hospital Dunedin, FL $56.40 $94 $228.67 0.2×
Winter Haven Hospital Winter Haven, FL $56.40 $94 $228.67 0.2×
Morton Plant North Bay Hospital New Port Richey, FL $56.40 $94 $228.67 0.2×
St. Anthony's Hospital Saint Petersburg, FL $56.40 $94 $228.67 0.2×
St. Joseph's Hospital Tampa, FL $56.40 $94 $228.67 0.2×
Bartow Regional Medical Center Bartow, FL $56.40 $94 $228.67 0.2×
Morton Plant Hospital Clearwater, FL $56.40 $94 $228.67 0.2×
South Florida Baptist Hospital Plant City, FL $56.40 $94 $228.67 0.2×
Mease Countryside Hospital Safety Harbor, FL $56.40 $94 $228.67 0.2×
BayCare Hospital Wesley Chapel Wesley Chapel, FL $56.40 $94 $228.67 0.2×
Washakie Medical Center Worland, WY $74.66 $153 $223.72 0.3×
Banner North Colorado Medical Center Greeley, CO $78.41 $216 $231 0.3×
Holmes Regional Medical Center Melbourne, FL $78.75 $315 $228.67 0.3×
Cape Canaveral Hospital Cocoa Beach, FL $78.75 $315 $228.67 0.3×
Viera Hospital Melbourne, FL $78.75 $315 $228.67 0.3×
Palm Bay Hospital Palm Bay, FL $78.75 $315 $228.67 0.3×
UCHealth Highlands Ranch Hospital Highlands Ranch, CO $87.90 $293 $231 0.4×
Lakewood Ranch Medical Center Bradenton, FL $88 $220 $228.67 0.4×
Banner Wyoming Medical Center Casper, WY $90.72 $216 $223.72 0.4×
Broward Health Imperial Point Fort Lauderdale, FL $91.51 $91.51 $228.67 0.4×
Broward Health Coral Springs Coral Springs, FL $91.51 $91.51 $228.67 0.4×
Broward Health North Pompano Beach, FL $92.61 $92.61 $228.67 0.4×
Broward Health Medical Center Fort Lauderdale, FL $99.23 $99.23 $228.67 0.4×
Platte County Hospital Wheatland, WY $101.29 $153 $223.72 0.5×
Parkland Memorial Hospital Dallas, TX $102.40 $256 $219.97 0.5×
Longs Peak Hospital Longmont, CO $102.55 $293 $233.56 0.4×
UCHealth Broomfield Hospital Broomfield, CO $102.55 $293 $231 0.4×
UCHealth Grandview Hospital Colorado Springs, CO $102.55 $293 $231 0.4×
Lakeside Medical Center Belle Glade, FL $103 $103 $228.67 0.5×
William P. Clements Jr. University Hospital (UT Southwestern) Dallas, TX $103.50 $207 $219.97 0.5×
Longmont United Hospital Longmont, CO $103.92 $259.79 $233.56 0.4×
St. Anthony Hospital Lakewood, CO $103.92 $259.79 $231 0.4×
Penrose Hospital Colorado Springs, CO $103.92 $259.79 $231 0.4×
St. Anthony North Health Campus Westminster, CO $103.92 $259.79 $231 0.4×
OrthoColorado Hospital Lakewood, CO $103.92 $259.79 $231 0.4×
St. Francis Hospital Interquest Colorado Springs, CO $103.92 $259.79 $231 0.4×
St. Thomas More Hospital Canon City, CO $103.96 $259.89 $231 0.5×
St. Anthony Summit Medical Center Frisco, CO $113.56 $283.90 $231 0.5×
St. Mary-Corwin Hospital Pueblo, CO $114.60 $286.49 $231 0.5×
Mercy Hospital Durango Durango, CO $114.75 $286.86 $231 0.5×
Tampa General Hospital Tampa, FL $126 $360 $228.67 0.6×
St. John's Medical Center Jackson, WY $151 $151 $223.72 0.7×
Denver Health Medical Center Denver, CO $152.49 $435.66 $231 0.7×
Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) Fort Worth, TX $155.55 $259.25 $219.97 0.7×
Lower Keys Medical Center Key West, FL $155.93 $577.50 $228.67 0.7×
Memorial Regional Hospital Hollywood, FL $165.20 $236 $228.67 0.7×
Memorial Hospital Pembroke Pembroke Pines, FL $165.20 $236 $228.67 0.7×
Memorial Hospital West Pembroke Pines, FL $165.20 $236 $228.67 0.7×
Memorial Hospital Miramar Miramar, FL $165.20 $236 $228.67 0.7×
Halifax Health Medical Center Daytona Beach, FL $166.40 $208 $228.67 0.7×
Halifax Health | UF Health Medical Center of Deltona Deltona, FL $166.40 $208 $228.67 0.7×
Baptist Medical Center Jacksonville Jacksonville, FL $186.62 $301 $228.67 0.8×
Baptist Medical Center - Beaches Jacksonville Beach, FL $186.62 $301 $228.67 0.8×
Baptist Medical Center - Nassau Fernandina Beach, FL $186.62 $301 $228.67 0.8×
Boca Raton Regional Hospital Boca Raton, FL $191.75 $295 $228.67 0.8×
Jackson Memorial Hospital Miami, FL $200 $957 $228.67 0.9×
Baylor University Medical Center (Baylor Scott & White) Dallas, TX $204.44 $340.74 $219.97 0.9×
Bethesda Hospital East Boynton Beach, FL $214.50 $330 $228.67 0.9×
Baptist Hospital of Miami Miami, FL $214.50 $330 $228.67 0.9×
Homestead Hospital Homestead, FL $214.50 $330 $228.67 0.9×
South Miami Hospital South Miami, FL $214.50 $330 $228.67 0.9×
Doctors Hospital Coral Gables, FL $214.50 $330 $228.67 0.9×
West Kendall Baptist Hospital Miami, FL $214.50 $330 $228.67 0.9×
Fishermen's Community Hospital Marathon, FL $214.50 $330 $228.67 0.9×
Mariners Hospital Tavernier, FL $214.50 $330 $228.67 0.9×
Naples Community Hospital Naples, FL $233.20 $583 $228.67 1.0×
Manatee Memorial Hospital Bradenton, FL $245.20 $613 $228.67 1.1×
HCA Florida Gulf Coast Hospital Panama City, FL $250.15 $250.15 $228.67 1.1×
HCA Florida Orange Park Hospital Orange Park, FL $254.86 $254.86 $228.67 1.1×
Powell Valley Healthcare Powell, WY $270.56 $318.30 $223.72 1.2×
HCA Florida North Florida Hospital Gainesville, FL $285.71 $285.71 $228.67 1.2×
HCA Florida Lawnwood Hospital Fort Pierce, FL $297 $297 $228.67 1.3×
Orlando Health Orlando Regional Medical Center Orlando, FL $320 $800 $228.67 1.4×
Orlando Health - Health Central Hospital Ocoee, FL $320 $800 $228.67 1.4×
Orlando Health Bayfront Hospital Saint Petersburg, FL $320 $800 $228.67 1.4×
Orlando Health South Lake Hospital Clermont, FL $320 $800 $228.67 1.4×
Orlando Health Sebastian River Hospital Sebastian, FL $320 $800 $228.67 1.4×
Orlando Health Melbourne Hospital Melbourne, FL $320 $800 $228.67 1.4×
Orlando Health St. Cloud Hospital Saint Cloud, FL $320 $800 $228.67 1.4×
Cleveland Clinic Martin North Hospital Stuart, FL $331.50 $510 $228.67 1.4×
Grand River Medical Center Rifle, CO $336 $672 $231 1.5×
St. Mary's Medical Center West Palm Beach, FL $343.88 $458.50 $228.67 1.5×
UCHealth University of Colorado Hospital Aurora, CO $344.40 $984 $231 1.5×
UCHealth Memorial Hospital Central Colorado Springs, CO $355.95 $791 $231 1.5×
Nemours Children's Hospital, Florida Orlando, FL $360 $360 $228.67 1.6×
Holy Cross Hospital Fort Lauderdale, FL $368.55 $567 $228.67 1.6×
AdventHealth Porter Denver, CO $369.03 $369.03 $231 1.6×
AdventHealth Avista Louisville, CO $369.03 $369.03 $233.56 1.6×
AdventHealth Littleton Littleton, CO $369.03 $369.03 $231 1.6×
AdventHealth Parker Parker, CO $369.03 $369.03 $231 1.6×
AdventHealth Castle Rock Castle Rock, CO $369.03 $369.03 $231 1.6×
MedStar Georgetown University Hospital Washington, DC $381.03 $586.20 $233.16 1.6×
HCA Florida Osceola Hospital Kissimmee, FL $404.40 $404.40 $228.67 1.8×
George Washington University Hospital Washington, DC $417.20 $1,043 $233.16 1.8×
Cedar Hill Regional Medical Center GW Health Washington, DC $417.20 $1,043 $233.16 1.8×
Medical City Dallas Dallas, TX $418.75 $418.75 $219.97 1.9×
Tallahassee Memorial Hospital Tallahassee, FL $422.10 $603 $228.67 1.8×
Campbell County Health Gillette, WY $428.40 $476 $223.72 1.9×
South Lincoln Medical Center Kemmerer, WY $470.93 $627.90 $223.72 2.1×
UF Health Leesburg Hospital Leesburg, FL $476.30 $866 $228.67 2.1×
Flagler Hospital Saint Augustine, FL $476.30 $866 $228.67 2.1×
UF Health Shands Hospital Gainesville, FL $476.30 $866 $228.67 2.1×
UF Health Spanish Plaines Hospital The Villages, FL $476.30 $866 $228.67 2.1×
UCHealth Yampa Valley Medical Center Steamboat Springs, CO $478.80 $532 $231 2.1×
HCA HealthOne Swedish Medical Center Englewood, CO $480.33 $480.33 $231 2.1×
West Boca Medical Center Boca Raton, FL $483 $644 $228.67 2.1×
UCHealth Greeley Hospital Greeley, CO $556.20 $927 $231 2.4×
AdventHealth Fish Memorial Orange City, FL $606.84 $606.84 $228.67 2.7×
AdventHealth Daytona Beach Daytona Beach, FL $620.48 $620.48 $228.67 2.7×
HCA Florida Brandon Hospital Brandon, FL $624.97 $624.97 $228.67 2.7×
Community Hospital Grand Junction Grand Junction, CO $646.80 $1,155 $231 2.8×
Poudre Valley Hospital Fort Collins, CO $648.90 $927 $231 2.8×
Medical Center of the Rockies Loveland, CO $648.90 $927 $231 2.8×
AdventHealth Palm Coast Palm Coast, FL $668.20 $668.20 $228.67 2.9×
HCA HealthOne Aurora Medical Center Aurora, CO $671.32 $671.32 $231 2.9×
AdventHealth Waterman Tavares, FL $715.93 $715.93 $228.67 3.1×
HCA HealthOne Mountain Ridge Thornton, CO $750.76 $750.76 $231 3.3×
AdventHealth Orlando Orlando, FL $782 $782 $228.67 3.4×
HCA Florida Oak Hill Hospital Brooksville, FL $815.54 $815.54 $228.67 3.6×
HCA Florida Northwest Hospital Margate, FL $838 $838 $228.67 3.7×
HCA Florida Trinity Hospital Trinity, FL $838.35 $838.35 $228.67 3.7×
Valley View Hospital Glenwood Springs, CO $850.85 $1,001 $231 3.7×
HCA HealthOne Presbyterian St. Luke's Medical Center Denver, CO $869.75 $869.75 $231 3.8×
HCA HealthOne Sky Ridge Medical Center Lone Tree, CO $891 $891 $231 3.9×
HCA Florida Pasadena Hospital Saint Petersburg, FL $919.46 $919.46 $228.67 4.0×
HCA Florida Palms West Hospital Loxahatchee, FL $922 $922 $228.67 4.0×
Sibley Memorial Hospital Washington, DC $967 $967 $233.16 4.1×
Ivinson Memorial Hospital Laramie, WY $995 $995 $223.72 4.4×
HCA Florida University Hospital Davie, FL $1,000 $1,000 $228.67 4.4×
HCA Florida St. Petersburg Hospital Saint Petersburg, FL $1,011.41 $1,011.41 $228.67 4.4×
HCA HealthOne Rose Medical Center Denver, CO $1,091 $1,091 $231 4.7×
Wellington Regional Medical Center Wellington, FL $1,112.25 $1,483 $228.67 4.9×
HCA Florida Kendall Hospital Miami, FL $1,123 $1,123 $228.67 4.9×
HCA Florida Memorial Hospital Jacksonville, FL $1,176 $1,176 $228.67 5.1×
AdventHealth Heart of Florida Davenport, FL $1,220.82 $1,220.82 $228.67 5.3×
AdventHealth Ocala Ocala, FL $1,323 $1,323 $228.67 5.8×
Johns Hopkins All Children's Hospital Saint Petersburg, FL $1,403 $1,403 $228.67 6.1×
AdventHealth Zephyrhills Zephyrhills, FL $1,819.13 $1,819.13 $228.67 8.0×
AdventHealth Carrollwood Tampa, FL $1,819.13 $1,819.13 $228.67 8.0×
AdventHealth Tampa Tampa, FL $1,819.13 $1,819.13 $228.67 8.0×
AdventHealth Wesley Chapel Wesley Chapel, FL $1,819.13 $1,819.13 $228.67 8.0×
AdventHealth Riverview Riverview, FL $1,819.13 $1,819.13 $228.67 8.0×
AdventHealth Sebring Sebring, FL $2,282.18 $2,282.18 $228.67 10.0×
Intermountain Health Platte Valley Hospital Brighton, CO $655.85 $231
Intermountain Health Lutheran Hospital Golden, CO $662.15 $231
Intermountain Health St. Joseph Hospital Denver, CO $662.15 $231
Intermountain Health Good Samaritan Hospital Lafayette, CO $662.15 $233.56
Intermountain Health St. Mary's Regional Hospital Grand Junction, CO $1,198.45 $231

"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.