Supplies, drugs & other prices at Lake Cumberland Regional Hospital
Somerset, KY · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $146.28 | $365.70 | 4.1× |
| Adm tocilizu covid-19 1st (M0249) | $1,154.82 | $2,887.04 | 2.7× |
| Adm tocilizu covid-19 2nd (M0250) | $1,154.82 | $2,887.04 | 2.7× |
| Admin hepatitis b vaccine (G0010) | $114.58 | $286.46 | 2.5× |
| Admin influenza virus vac (G0008) | $121.01 | $302.53 | 2.7× |
| Admin pneumococcal vaccine (G0009) | $121.01 | $302.53 | 2.7× |
| Alveoplasty w/ extraction (D7310) | $21,289.64 | $53,224.10 | 14.2× |
| Arthro/shoul surg; w/spacer (C9781) | $13,715.51 | $34,288.79 | 1.1× |
| Autolog prp not diab ulcer (G0460) | $1,518 | $3,795 | 0.8× |
| Colon ca scrn not hi rsk ind (G0121) | $3,987.12 | $9,967.80 | 4.4× |
| Colorectal scrn; hi risk ind (G0105) | $4,433.14 | $11,082.84 | 4.9× |
| Covid-19 lab test non-cdc (U0002) | $146.28 | $365.70 | 2.9× |
| Cysto impl 4 or more (C9740) | $4,644.63 | $11,611.57 | 0.5× |
| Direct refer hospital observ (G0379) | $511.82 | $1,279.54 | 0.9× |
| Drug test def 1-7 classes (G0480) | $178.26 | $445.64 | 1.6× |
| Drug test def 8-14 classes (G0481) | $143.69 | $359.22 | 0.9× |
| Elec stim other than wound (G0283) | $205.95 | $514.87 | 16.2× |
| Elisa hiv-1/hiv-2 screen (G0433) | $360.82 | $902.04 | 19.7× |
| Hbot, full body chamber, 30m (G0277) | $404.03 | $1,010.08 | 3.0× |
| Hiv combination assay (G0475) | $47.38 | $118.44 | 2.0× |
| Home sleep test/type 3 porta (G0399) | $526.69 | $1,316.72 | 2.5× |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) | $455.80 | $1,139.49 | 2.3× |
| Inj for sacroiliac jt anesth (G0260) | $776.39 | $1,940.98 | 1.1× |
| Insertion of sinus tarsi implant (0335T) unusually low: confirm this is the full procedure |
$3,128.72 | $7,821.79 | 0.4× |
| Mra w/cont, abd (C8900) | $3,250.62 | $8,126.55 | 9.6× |
| Mra w/cont, chest (C8909) | $3,250.62 | $8,126.55 | 9.6× |
| Mra w/cont, lwr ext (C8912) | $2,483.02 | $6,207.57 | 7.4× |
| Mra w/cont, pelvis (C8918) | $3,250.62 | $8,126.55 | 9.6× |
| Mra w/o cont, abd (C8901) | $3,159.18 | $7,897.94 | 13.7× |
| Mra w/o cont, chest (C8910) | $3,159.18 | $7,897.94 | 13.7× |
| Mra w/o cont, lwr ext (C8913) | $2,391.41 | $5,978.53 | 10.4× |
| Mra w/o fol w/cont, abd (C8902) | $3,314.87 | $8,287.17 | 9.8× |
| Mra w/o fol w/cont, chest (C8911) | $3,350.29 | $8,375.73 | 9.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,574.64 | $6,436.60 | 7.6× |
| Mra, w/dye, spinal canal (C8931) | $3,250.62 | $8,126.55 | 9.6× |
| Mra, w/dye, upper extremity (C8934) | $2,589.95 | $6,474.88 | 7.7× |
| Mra, w/o dye, spinal canal (C8932) | $3,159.18 | $7,897.94 | 13.7× |
| Mra, w/o dye, upper extr (C8935) | $2,494.39 | $3,128.47 | 10.8× |
| Mra, w/o&w/dye, spinal canal (C8933) | $3,350.29 | $8,375.73 | 9.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,685.51 | $6,713.78 | 8.0× |
| Mri w/cont, breast, bi (C8906) | $1,867.68 | $4,669.19 | 5.5× |
| Mri w/cont, breast, uni (C8903) | $1,790.48 | $4,476.20 | 10.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,962.22 | $4,905.55 | 5.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,962.22 | $4,905.55 | 5.8× |
| Oth resp proc, indiv (G0238) | $109.52 | $273.81 | 3.9× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,846.23 | $19,615.57 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $21,243.03 | $53,107.58 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $10,661.88 | $26,654.70 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $26,067.40 | $65,168.51 | 2.3× |
| Prostate biopsy, any mthd (G0416) | $555.98 | $1,389.94 | 1.6× |
| Psa screening (G0103) | $128.51 | $321.28 | 6.7× |
| Revasc intra lithotrip-stent (C9765) | $8,903 | $22,257.51 | 0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $35,221.12 | $88,052.79 | 1.9× |
| Therapeutic procd strg endur (G0237) | $109.52 | $273.81 | 3.9× |
| Tomosynthesis, mammo (G0279) | $167.29 | $418.22 | 13.2× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $5,451.29 | $13,628.23 | 1.6× |
| Trim nail(s) (G0127) | $97.50 | $243.74 | 1.7× |
| Visit to determ ldct elig (G0296) | $169.98 | $424.95 | 1.7× |