Supplies, drugs & other prices at Gundersen Lutheran Medical Center

La Crosse, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ca screen;flexi sigmoidscope (G0104) $576 $1,440 0.6×
Ca screen;pelvic/breast exam (G0101) $72.40 $181 0.7×
Collagen Cross-Linking Cornea&Pachymetry (0402T) $1,458.80 $3,647 0.6×
Colon ca scrn not hi rsk ind (G0121) $770 $1,925 0.8×
Colorectal scrn; hi risk ind (G0105) $770 $1,925 0.8×
Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) $78 $195 0.6×
Glaucoma scrn hgh risk direc (G0117) $25.20 $63 0.8×
Group mnt 2 or more 30 mins (G0271) $8.40 $21 0.5×
Initial preventive exam (G0402) $58.80 $147 0.4×
Mnt subs tx for change dx (G0270) $16.80 $42 0.5×
Visit to determ ldct elig (G0296) $68.40 $171 0.6×