Supplies, drugs & other prices at Lake Region Healthcare - Elbow Lake Hospital
Elbow Lake, MN · 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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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,120.78 | $1,765 | 3.1× |
| Adm of soc dtr assess 5-15 m (G0136) | $21.59 | $34 | 0.6× |
| Admin hepatitis b vaccine (G0010) | $52.07 | $82 | 1.1× |
| Admin influenza virus vac (G0008) | $45.72 | $72 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $30.48 | $48 | 0.6× |
| Adv prim care mgmt lvl 1 (G0556) | $6.35 | $10 | 0.2× |
| Adv prim care mgmt lvl 2 (G0557) | $21.59 | $34 | 0.6× |
| Adv prim care mgmt lvl 3 (G0558) | $46.36 | $73 | 0.4× |
| Ascvd rsk mng clin stf pr mo (G0538) | $31.75 | $50 | 0.3× |
| Behavior counsel obesity 15m (G0447) | $34.93 | $55 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $12.70 | $20 | 0.1× |
| Covid-19 lab test non-cdc (U0002) | $98.43 | $155 | 1.9× |
| Depression screen annual (G0444) | $5.72 | $9 | 0.1× |
| Diab manage trn per indiv (G0108) | $111.76 | $176 | 2.0× |
| Hep c screen high risk/other (G0472) | $130.18 | $205 | 2.8× |
| Hopd mntl hlt, 15-29 min (C7900) | $200.66 | $316 | 5.2× |
| Hopd mntl hlt, 30-60 min (C7901) | $314.33 | $495 | 3.0× |
| Hopd mntl hlt, grp (C7903) | $43.18 | $68 | 1.1× |
| Initial preventive exam (G0402) | $48.26 | $76 | 0.4× |
| Intens behave ther cardio dx (G0446) | $13.97 | $22 | 0.4× |
| Neuro csf prion prtn qual (0035U) | $1,091.57 | $1,719 | 2.0× |
| Obtaining screen pap smear (Q0091) | $29.21 | $46 | 1.0× |
| Pin service 60m per month (G0023) | $108.59 | $171 | 1.0× |
| Psa screening (G0103) | $110.18 | $173.50 | 5.7× |
| Risk ascvd tst once pr 12 mo (G0537) | $14.61 | $23 | 0.4× |
| Tomosynthesis, mammo (G0279) | $71.76 | $113 | 5.7× |
| Trauma respons w/hosp criti (G0390) | $3,884.30 | $6,117 | 2.8× |
| Trim nail(s) (G0127) | $6.35 | $10 | 0.1× |
| Tte w or w/o contr, cont ecg (C8930) | $1,969.77 | $3,102 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,399.54 | $2,204 | 1.7× |
| Visit to determ ldct elig (G0296) | $15.24 | $24 | 0.1× |