Supplies, drugs & other prices at Iberia Medical Center

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

31 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,co (C8923) $1,400.40 $2,334 2.0×
2d tte w or w/o fol w/con,fu (C8924) $964.80 $1,608 3.1×
Chemo extend iv infus w/pump (G0498) $366 $610 1.2×
Colon ca scrn not hi rsk ind (G0121) $3,802.80 $6,338 4.5×
Colorectal scrn; hi risk ind (G0105) $3,560.40 $5,934 4.2×
Cysto impl 4 or more (C9740) $13,563.60 $22,606 1.6×
Direct refer hospital observ (G0379) $88.20 $147 0.2×
Elec stim other than wound (G0283) $34.50 $57.50 2.7×
Hbot, full body chamber, 30m (G0277) $186.60 $311 1.5×
Hospital outpt clinic visit (G0463) $180 $300 1.5×
Mra w/o fol w/cont, lwr ext (C8914) $1,432.80 $2,388 4.5×
Obtaining screen pap smear (Q0091) $24 $40 0.9×
Oth resp proc, group (G0239) $97.80 $163 2.9×
Oth resp proc, indiv (G0238) $83.40 $139 3.2×
Perc d-e cor revasc t cabg s (C9604) $9,266.40 $15,444 0.9×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$5,989.80 $9,983 0.4×
Perc drug-el cor stent sing (C9600) $5,989.80 $9,983 0.6×
Ppps, initial visit (G0438) $242.40 $404 1.4×
Ppps, subseq visit (G0439) $205.80 $343 1.5×
Prostate biopsy, any mthd (G0416) $123 $205 0.4×
Psa screening (G0103) $33.90 $56.50 1.8×
Revasc intra lithotrip-ather (C9766) $17,778.60 $29,631 1.1×
Revasc intra lithotrip-stent (C9765) $18,885 $31,475 1.1×
Revasc intravasc lithotripsy (C9764) $11,238 $18,730 1.1×
Revasc lithotrip tibi/perone (C9772) $11,238 $18,730 1.1×
Revasc lithotrip-stent-ather (C9767) $18,184.80 $30,308 1.1×
Therapeutic procd strg endur (G0237) $97.80 $163 3.7×
Tomosynthesis, mammo (G0279) $33 $55 2.6×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $8,722.80 $14,538 0.8×
Trluml peripheral atherectomy iliac artery ea (0238T) $8,722.80 $14,538 0.5×
Unsched dialysis esrd pt hos (G0257) $845.40 $1,409 1.4×