Supplies, drugs & other prices at Lafayette Surgical Specialty Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Cysto impl 4 or more (C9740) $5,096 $5,096 0.6×
Cysto, litho, vacuum kidney (C9761) $10,303.50 $10,303.50 1.2×
Cystoscopy prostatic imp 1-3 (C9739) $5,048 $5,048 1.0×
Drug test def 1-7 classes (G0480) $187.50 $187.50 1.6×
Inj for sacroiliac jt anesth (G0260) $1,374 $1,374 2.1×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T)
likely a partial charge, not the full procedure
$964 $964 0.1×