Supplies, drugs & other prices at Lake Charles Memorial Hospital
Lake Charles, LA · every code in this section with a posted price and a Medicare benchmark.
41 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin pneumococcal vaccine (G0009) | $27.30 | $45.50 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $72.60 | $121 | 0.8× |
| Catheterize for urine spec (P9612) | $4.50 | $7.50 | 0.5× |
| Covid-19 lab test non-cdc (U0002) | $428.40 | $714 | 8.3× |
| Diab manage trn per indiv (G0108) range across 5 matching MRF lines |
$49.80–$130.41 | $83–$217.35 | varies |
| Diab manage trn ind/group (G0109) | $25.80 | $43 | 1.6× |
| Direct refer hospital observ (G0379) | $413.76 | $689.60 | 0.7× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$48.60–$577.88 | $81–$963.13 | varies |
| Drug test def 15-21 classes (G0482) | $1,198.16 | $1,996.93 | 6.0× |
| Drug test def 22+ classes (G0483) | $1,738.76 | $2,897.93 | 7.0× |
| Drug test def 8-14 classes (G0481) | $722.96 | $1,204.93 | 4.6× |
| Elec stim other than wound (G0283) range across 8 matching MRF lines |
$24.95–$37.42 | $41.58–$62.37 | varies |
| Hbot, full body chamber, 30m (G0277) | $208.20 | $347 | 1.6× |
| Home sleep test/type 2 porta (G0398) | $157.92 | $263.20 | 0.8× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$157.92–$540 | $263.20–$900 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$158.40–$319.20 | $264–$532 | varies |
| Mra w/o fol w/cont, abd (C8902) | $1,047.60 | $1,746 | 3.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,047.60 | $1,746 | 3.2× |
| Obtaining screen pap smear (Q0091) | $82.80 | $138 | 3.1× |
| Perc d-e cor revasc chro sin (C9607) range across 5 matching MRF lines |
$8,552.12–$8,979.60 | $14,253.54–$14,966 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 5 matching MRF lines |
$8,552.12–$8,979.60 | $14,253.54–$14,966 | varies |
| Perc d-e cor stent ather s (C9602) | $8,552.12 | $14,253.54 | 0.5× |
| Perc drug-el cor stent sing (C9600) range across 5 matching MRF lines |
$8,552.12–$8,979.60 | $14,253.54–$14,966 | varies |
| Perq Sacral Augmt Bilat Inj (0201T) range across 2 matching MRF lines |
$3,840–$8,510.40 | $6,400–$14,184 | varies |
| Perq Sacral Augmt Unilat Inj (0200T) | $8,510.40 | $14,184 | 1.3× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$194.40–$328.80 | $324–$548 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$151.20–$222 | $252–$370 | varies |
| Prostate biopsy, any mthd (G0416) | $535.17 | $891.95 | 1.6× |
| Psa screening (G0103) | $42.90 | $71.50 | 2.2× |
| Revasc intra lithotrip-ather (C9766) | $13,409.15 | $22,348.58 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $13,409.15 | $22,348.58 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $6,704.13 | $11,173.55 | 0.6× |
| Revasc lith-sten-ath tib/per (C9775) | $21,820.38 | $36,367.30 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $21,820.38 | $36,367.30 | 1.3× |
| Revasc lithotr-stent tib/per (C9773) | $21,820.38 | $36,367.30 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $13,641.72 | $22,736.20 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $21,571.50 | $35,952.50 | 1.3× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,300–$4,950 | $5,500–$8,250 | varies |
| Trim nail(s) (G0127) | $45 | $75 | 0.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $10,204.38 | $17,007.30 | 0.6× |
| Unsched dialysis esrd pt hos (G0257) | $1,090.58 | $1,817.64 | 1.7× |
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.