Supplies, drugs & other prices at Franciscan Health Lafayette
Lafayette, IN · every code in this section with a posted price and a Medicare benchmark.
75 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,036.93 | $4,692 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $365.98 | $1,656 | 1.0× |
| Adm tocilizu covid-19 1st (M0249) | $171.05 | $774 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $171.05 | $774 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $71.83 | $325 | 1.4× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$25.86–$34.70 | $117–$157 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$23.21–$44.64 | $105–$202 | varies |
| Behavior counsel obesity 15m (G0447) | $42.21 | $191 | 0.4× |
| Catheterize for urine spec (P9612) | $3.54 | $16 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,962.49–$2,082.84 | $8,880.05–$9,424.60 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,747.26–$2,174.41 | $7,906.16–$9,838.95 | varies |
| Demonstrate use home inr mon (G0248) | $66.30 | $300 | 0.5× |
| Depression screen annual (G0444) | $22.98 | $104 | 0.6× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$42.21–$51.94 | $191–$235 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$13.48–$22.98 | $61–$104 | varies |
| Direct refer hospital observ (G0379) | $256.58 | $1,161 | 0.4× |
| Elec stim other than wound (G0283) | $76.25 | $345 | 6.0× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$11,300.61 | $51,134 | 0.2× |
| Fecal blood scrn immunoassay (G0328) | $25.42 | $115 | 1.4× |
| Group mnt 2 or more 30 mins (G0271) | $13.48 | $61 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $219.23 | $992 | 1.5× |
| Hep c screen high risk/other (G0472) | $55.03 | $249 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,642.97–$1,661.84 | $7,434.26–$7,519.66 | varies |
| Insj ocular telescope prosth (0308T) likely a partial charge, not the full procedure |
$1,932.87 | $8,746 | 0.1× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $6,266.46 | $28,355 | 0.6× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$16.35–$25.86 | $74–$117 | varies |
| Mra w/cont, abd (C8900) | $792.29 | $3,585 | 2.1× |
| Mra w/cont, chest (C8909) | $792.29 | $3,585 | 2.1× |
| Mra w/cont, lwr ext (C8912) | $792.29 | $3,585 | 2.1× |
| Mra w/cont, pelvis (C8918) | $792.29 | $3,585 | 2.1× |
| Mra w/o cont, abd (C8901) | $874.50 | $3,957 | 3.5× |
| Mra w/o cont, chest (C8910) | $737.70 | $3,338 | 2.9× |
| Mra w/o cont, lwr ext (C8913) | $737.70 | $3,338 | 2.9× |
| Mra w/o cont, pelvis (C8919) | $737.70 | $3,338 | 2.9× |
| Mra w/o fol w/cont, abd (C8902) | $874.50 | $3,957 | 2.4× |
| Mra w/o fol w/cont, chest (C8911) | $874.50 | $3,957 | 2.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $874.50 | $3,957 | 2.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $874.50 | $3,957 | 2.4× |
| Mra, w/o&w/dye, spinal canal (C8933) | $874.50 | $3,957 | 2.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $874.50 | $3,957 | 2.4× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $166.63 | $754 | 0.7× |
| Neuro csf prion prtn qual (0035U) | $360.89 | $1,633 | 0.7× |
| Oth resp proc, group (G0239) | $95.03 | $430 | 2.4× |
| Oth resp proc, indiv (G0238) | $43.32 | $196 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,402.59 | $28,971 | 0.3× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$5,792.85 | $26,212 | 0.5× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$5,792.85 | $26,212 | 0.3× |
| Perc drug-el cor stent sing (C9600) | $7,317.09 | $33,109 | 0.6× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $8,662.98 | $39,199 | 0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,060.41 | $13,848 | 0.4× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,577.30 | $11,662 | 0.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$3,398.98 | $15,380 | 0.3× |
| Pne flu hepb cov home admin (M0201) | $8.84 | $40 | 0.2× |
| Prolonged iv inf, req pump (C8957) | $197.80 | $895 | 0.9× |
| Prostate biopsy, any mthd (G0416) | $262.99 | $1,190 | 0.7× |
| Provide inr test mater/equip (G0249) | $66.30 | $300 | 0.5× |
| Psa screening (G0103) | $76.25 | $345 | 3.9× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$9,311.61 | $42,134 | 0.5× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$9,311.61 | $42,134 | 0.5× |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$6,410.55–$12,821.09 | $29,007–$58,014 | varies |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$9,311.61 | $42,134 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$9,311.61 | $42,134 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$9,311.61 | $42,134 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$5,842.14 | $26,435 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$9,311.61 | $42,134 | 0.5× |
| Screen pap by tech w md supv (P3000) | $13.48 | $61 | 0.7× |
| Therapeutic procd strg endur (G0237) | $37.79 | $171 | 1.2× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,127.54–$2,577.30 | $5,102–$11,662 | varies |
| Trluml perip athrc abd aorta (0236T) likely a partial charge, not the full procedure |
$2,744.16 | $12,417 | 0.2× |
| Trluml Perip Athrc Brchiocph (0237T) likely a partial charge, not the full procedure |
$2,744.16 | $12,417 | 0.2× |
| Trluml Perip Athrc Iliac Art (0238T) likely a partial charge, not the full procedure |
$2,744.16 | $12,417 | 0.1× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) likely a partial charge, not the full procedure |
$2,744.16 | $12,417 | 0.2× |
| Tte w or w/o contr, cont ecg (C8930) | $1,311.19 | $5,933 | 1.6× |
| Tte w or wo fol wcon,doppler (C8929) | $823 | $3,724 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $489.52 | $2,215 | 0.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.