Supplies, drugs & other prices at Glenwood Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,720.51 $1,720.51 5.3×
Admin hepatitis b vaccine (G0010) $281.16 $281.16 6.5×
Admin influenza virus vac (G0008) $281.16 $281.16 6.5×
Admin pneumococcal vaccine (G0009) $281.16 $281.16 6.5×
Cbc without platelet (G0307) $21.79 $21.79 3.4×
Cbc/diffwbc w/o platelet (G0306) $26.17 $26.17 3.4×
Colorectal scrn; hi risk ind (G0105) $2,303.75 $2,303.75 2.7×
Direct refer hospital observ (G0379) $2,939.17 $2,939.17 5.3×
Drug test def 1-7 classes (G0480) $374.19 $374.19 3.3×
Elec stim other than wound (G0283) $158.73 $158.73 12.5×
Fecal blood scrn immunoassay (G0328) $60.79 $60.79 3.4×
Hbot, full body chamber, 30m (G0277) $1,141.25 $1,141.25 9.0×
Hiv combination assay (G0475) $114.86 $114.86 4.8×
Home sleep test/type 3 porta (G0399) $1,598.55 $1,598.55 8.0×
Hospital outpt clinic visit (G0463) $377.54 $377.54 3.1×
Hpv combo assay ca screen (G0476) $118.19 $118.19 3.4×
Inj for sacroiliac jt anesth (G0260) $1,615.91 $1,615.91 2.5×
Mra w/cont, abd (C8900) $4,637.73 $4,637.73 14.4×
Mra w/o fol w/cont, abd (C8902) $4,637.73 $4,637.73 14.4×
Mri w/cont, breast, bi (C8906) $4,389.65 $4,389.65 13.6×
Mri w/cont, breast, uni (C8903) $3,919.78 $3,919.78 24.2×
Mri w/o fol w/cont, breast, (C8908) $4,389.65 $4,389.65 13.6×
Mri w/o fol w/cont, brst, un (C8905) $3,919.78 $3,919.78 12.2×
Oth resp proc, group (G0239) $254.45 $254.45 7.4×
Oth resp proc, indiv (G0238) $455.73 $455.73 17.0×
Perc d-e cor revasc chro sin (C9607) $35,863.21 $35,863.21 2.1×
Perc d-e cor revasc t cabg s (C9604) $83,782.27 $83,782.27 7.9×
Perc d-e cor stent ather s (C9602) $35,863.21 $35,863.21 2.1×
Perc drug-el cor stent sing (C9600) $37,714.75 $37,714.75 3.5×
Prostate biopsy, any mthd (G0416) $980.99 $980.99 3.0×
Psa screening (G0103) $65.04 $65.04 3.4×
Revasc intra lithotrip-ather (C9766) $46,928.97 $46,928.97 2.8×
Revasc intra lithotrip-stent (C9765) $46,928.97 $46,928.97 2.8×
Revasc intravasc lithotripsy (C9764) $29,350.77 $29,350.77 2.8×
Revasc lith-sten-ath tib/per (C9775) $46,928.97 $46,928.97 2.8×
Revasc lithotr-ather tib/per (C9774) $46,928.97 $46,928.97 2.8×
Revasc lithotr-stent tib/per (C9773) $46,928.97 $46,928.97 2.8×
Revasc lithotrip tibi/perone (C9772) $29,350.77 $29,350.77 2.8×
Revasc lithotrip-stent-ather (C9767) $46,928.97 $46,928.97 2.8×
Scr c/v cyto,thinlayer,rescr (G0145) $88.92 $88.92 3.4×
Screen cerv/vag thin layer (G0123) $68.23 $68.23 3.4×
Therapeutic procd strg endur (G0237) $278.74 $278.74 10.4×
Tomosynthesis, mammo (G0279) $108.61 $108.61 8.6×
Tte w or wo fol wcon,doppler (C8929) $3,633.44 $3,633.44 5.0×
Unsched dialysis esrd pt hos (G0257) $5,339.33 $5,339.33 8.4×