Supplies, drugs & other prices at DeSoto Regional Health System

Mansfield, LA · every code in this section with a posted price and a Medicare benchmark.

53 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $63 $90 1.8×
Admin hepatitis b vaccine (G0010) $33.60 $48 0.8×
Admin influenza virus vac (G0008) $268.80 $384 6.3×
Admin pneumococcal vaccine (G0009) $302.40 $432 7.1×
Alcohol/subs interv 15-30mn (G0396) $63 $90 1.9×
Alcohol/subs interv >30 min (G0397) $122.50 $175 0.8×
Annual alcohol screen 15 min (G0442) $30.10 $43 0.9×
Behavior counsel obesity 15m (G0447) $44.10 $63 0.5×
Ca screen;flexi sigmoidscope (G0104) $770 $1,100 0.9×
Ca screen;pelvic/breast exam (G0101) $70 $100 0.8×
Cardiokymography (Q0035) $38.50 $55 1.1×
Colon ca scrn not hi rsk ind (G0121) $700 $1,000 0.8×
Colorectal scrn; hi risk ind (G0105) $700 $1,000 0.8×
Covid-19 lab test non-cdc (U0002) $91 $130 1.8×
Demonstrate use home inr mon (G0248) $269.50 $385 2.2×
Depression screen annual (G0444) $29.40 $42 0.9×
Diab manage trn per indiv (G0108) $42 $60 0.8×
Diab manage trn ind/group (G0109) $28 $40 1.7×
Direct refer hospital observ (G0379) $238 $340 0.4×
Eia hiv-1/hiv-2 screen (G0432) $112 $160 5.7×
Ekg tracing for initial prev (G0404) $28 $40 1.1×
Elec stim other than wound (G0283) $39.20 $56 3.1×
Elec stim unattend for press (G0281) $39.20 $56 3.4×
Electromagntic tx for ulcers (G0329) $17.50 $25 1.6×
Extrnl counterpulse, per tx (G0166) $273 $390 2.3×
Fecal blood scrn immunoassay (G0328) $26.60 $38 1.5×
Followup eval of foot pt lop (G0246) $73.50 $105 0.6×
Glaucoma scrn hgh risk direc (G0118) $56 $80 1.7×
Glaucoma scrn hgh risk direc (G0117) $84 $120 3.2×
Group mnt 2 or more 30 mins (G0271) $45.50 $65 2.7×
Hiv combination assay (G0475) $184.80 $264 7.7×
Initial foot exam pt lops (G0245) $122.50 $175 1.0×
Initial preventive exam (G0402) $182 $260 1.5×
Inj for sacroiliac jt anesth (G0260) $266 $380 0.4×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $566.30 $809 4.6×
Mnt subs tx for change dx (G0270) $61.60 $88 1.9×
Obtaining screen pap smear (Q0091) $77 $110 2.9×
Open tx iliac spine uni/bil (G0412)
likely a partial charge, not the full procedure
$1,337 $1,910 0.2×
Open tx post pelvic fxcture (G0415) $2,530.50 $3,615 0.9×
Oth resp proc, group (G0239) $56.70 $81 1.7×
Oth resp proc, indiv (G0238) $51.10 $73 2.0×
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure
$1,953 $2,790 0.3×
Pelvic ring fx treat int fix (G0414)
likely a partial charge, not the full procedure
$1,844.50 $2,635 0.3×
Ppps, initial visit (G0438) $288.26 $411.80 1.7×
Ppps, subseq visit (G0439) $193.90 $277 1.4×
Prostate biopsy, any mthd (G0416) $1,421 $2,030 4.4×
Provide inr test mater/equip (G0249) $227.50 $325 1.9×
Routine footcare pt w lops (G0247) $80.50 $115 0.4×
Single energy x-ray study (G0130) $63 $90 0.7×
Therapeutic procd strg endur (G0237) $21 $30 0.8×
Trim nail(s) (G0127) $35 $50 0.7×
Tte w or w/o fol w/cont, com (C8921) $553 $790 0.8×
Wet mounts/ w preparations (Q0111) $35 $50 1.9×