Supplies, drugs & other prices at Lake Regional Hospital

Osage Beach, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $17.10 $57 0.5×
2d tte w or w/o fol w/con,co (C8923) $645 $2,150 0.8×
2d tte w or w/o fol w/con,fu (C8924) $309.90 $1,033 0.9×
Adm tocilizu covid-19 1st (M0249) $170.40 $568 0.4×
Adm tocilizu covid-19 2nd (M0250) $170.40 $568 0.4×
Admin influenza virus vac (G0008) $30 $100 0.6×
Admin pneumococcal vaccine (G0009) $30 $100 0.6×
Arthro/shoul surg; w/spacer (C9781) $10,687.27 $35,624.23 0.8×
Ca screen;flexi sigmoidscope (G0104) $598.50 $1,995 0.6×
Catheterize for urine spec (P9612) $42.30 $141 4.5×
Chemo extend iv infus w/pump (G0498) $269.10 $897 0.8×
Colon ca scrn not hi rsk ind (G0121) $1,255.50 $4,184.99 1.3×
Colorectal scrn; hi risk ind (G0105) $1,307.90 $4,359.67 1.4×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) $69.30 $231 0.8×
Cysto impl 4 or more (C9740) $7,424.25 $24,747.51 0.8×
Cysto, litho, vacuum kidney (C9761)
range across 4 matching MRF lines
$7,488.14–$10,876.93 $24,960.45–$36,256.43 varies
Diab manage trn per indiv (G0108) $45.30 $151 0.8×
Diab manage trn ind/group (G0109) $26.10 $87 1.6×
Direct refer hospital observ (G0379) $383.40 $1,278 0.6×
Drug test def 1-7 classes (G0480) $251.40 $838 2.2×
Elec stim other than wound (G0283) $40.20 $134 3.2×
Fecal blood scrn immunoassay (G0328) $34.20 $114 1.9×
Hbot, full body chamber, 30m (G0277) $210 $700 1.5×
Home sleep test/type 3 porta (G0399) $126.90 $423 0.6×
Hospital outpt clinic visit (G0463)
range across 3 matching MRF lines
$98.10–$150.90 $327–$503 varies
Hpv combo assay ca screen (G0476) $38.70 $129 1.1×
Inj for sacroiliac jt anesth (G0260)
range across 4 matching MRF lines
$614.15–$1,153.51 $2,047.18–$3,845.03 varies
Intens cardiac rehab no exer (G0423) $102 $340 0.8×
Intens cardiac rehab w/exerc (G0422) $103.50 $345 0.8×
Mra w/cont, abd (C8900) $1,386.90 $4,623 4.0×
Mra w/o cont, abd (C8901) $1,206 $4,020 5.0×
Mri w/o fol w/cont, breast, (C8908) $929.70 $3,099 2.7×
Nav srv peer sup 60 min pr m (G0140) $61.20 $204 0.6×
Neuro csf prion prtn qual (0035U) $312.60 $1,042 0.6×
Njx bone sub matrl into subchondral bone defect (0707T) $9,293.35 $30,977.83 2.8×
Njx platelet plasma (0232T) $408.30 $1,361 0.9×
Obtaining screen pap smear (Q0091) $23.40 $78 0.8×
Oth resp proc, group (G0239) $63 $210 1.7×
Oth resp proc, indiv (G0238) $32.10 $107 1.1×
Perc d-e cor revasc chro sin (C9607) $10,204.50 $34,015 0.6×
Perc d-e cor revasc t cabg s (C9604) $7,076.40 $23,588 0.6×
Perc d-e cor stent ather s (C9602) $27,224.70 $90,749 1.5×
Perc drug-el cor stent sing (C9600) $18,364.93 $61,216.44 1.6×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $21,037.07 $70,123.55 1.8×
Pin service 60m per month (G0023) $61.20 $204 0.6×
Pinworm examinations (Q0113) $21.30 $71 5.0×
Prolonged iv inf, req pump (C8957) $145.50 $485 0.7×
Psa screening (G0103) $39.90 $133 2.1×
Revasc intra lithotrip-ather (C9766) $27,062.03 $90,206.78 1.5×
Revasc intra lithotrip-stent (C9765)
range across 3 matching MRF lines
$25,119.51–$36,428.81 $83,731.71–$121,429.37 varies
Revasc intravasc lithotripsy (C9764)
range across 4 matching MRF lines
$20,861.23–$46,914.28 $69,537.42–$156,380.92 varies
Revasc lith-sten-ath tib/per (C9775) $14,340 $47,800 0.8×
Revasc lithotr-ather tib/per (C9774) $14,340 $47,800 0.8×
Revasc lithotr-stent tib/per (C9773) $14,340 $47,800 0.8×
Revasc lithotrip tibi/perone (C9772) $29,686.01 $98,953.36 2.6×
Revasc lithotrip-stent-ather (C9767) $14,340 $47,800 0.8×
Screen cerv/vag thin layer (G0123) $30.60 $102 1.5×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $42,855.56 $142,851.88 2.2×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $14,745.60 $49,152 0.8×
Therapeutic procd strg endur (G0237) $40.80 $136 1.4×
Tomosynthesis, mammo (G0279) $48.90 $163 3.9×
Transcatheter Renal Sympath Denervation Bilat (0339T) $18,316.50 $61,055 3.2×
Transcatheter renal sympath denervation unilat (0338T) $4,579.20 $15,264 0.8×
Trauma respons w/hosp criti (G0390) $1,242.30 $4,141 0.9×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,646.50 $12,155 1.0×
Trluml Perip Athrc Iliac Art (0238T) $15,240.30 $50,801 0.8×
Tte w or w/o contr, cont ecg (C8930) $665.10 $2,217 0.8×
Tte w or w/o fol w/cont, com (C8921) $645 $2,150 0.8×
Tte w or w/o fol w/cont, f/u (C8922) $4,373.06 $14,576.86 5.6×
Tte w or wo fol wcon,doppler (C8929) $3,081.30 $10,271 3.9×
Unsched dialysis esrd pt hos (G0257) $718.80 $2,396 1.0×
Wet mounts/ w preparations (Q0111) $27.60 $92 1.5×

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.