Supplies, drugs & other prices at Lake Martin Community Hospital

Dadeville, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $29.25 $39 0.7×
Admin pneumococcal vaccine (G0009) $29.25 $39 0.7×
Colon ca scrn not hi rsk ind (G0121) $341.25 $455 0.4×
Colorectal scrn; hi risk ind (G0105) $341.25 $455 0.4×
Direct refer hospital observ (G0379) $21 $28 0.0×
Drug test def 1-7 classes (G0480) $214.50 $286 1.9×
Drug test def 22+ classes (G0483) $462.75 $617 1.9×
Hiv combination assay (G0475) $45 $60 1.9×
Hospital outpt clinic visit (G0463) $62.25 $83 0.5×
Mra w/o fol w/cont, abd (C8902) $1,361.25 $1,815 4.5×
Mra w/o fol w/cont, chest (C8911) $1,361.25 $1,815 4.5×
Mra w/o fol w/cont, pelvis (C8920) $1,171.50 $1,562 3.9×
Psa screening (G0103) $36 $48 1.9×