Chest X-Ray 1 View$132.00
Simple Repair of Superficial Wounds (Stitches)$382.00
MRI Brain without Dye$728.00
ER Visit, Level 3$1,091.00
CT Scan Abdomen and Pelvis with Dye$1,176.00
ER Visit, Level 5 (Complex/Heart Attack)$1,630.00
MRI Brain without Dye$1,789.00
ER Visit, Level 5 (Complex/Heart Attack)$2,553.00
ER Visit, Level 5 (Complex/Heart Attack)$2,592.00
ER Visit, Level 5 (Complex/Heart Attack)$2,832.00
ER Visit, Level 5 (Complex/Heart Attack)$3,693.00
ER Visit, Level 5 (Complex/Heart Attack)$4,215.00
Obstetrical Care (Labor and Delivery)$12,821.00
Hip Replacement$43,181.00
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