Supplies, drugs & other prices at Las Palmas Medical Center A Campus of Lpds Healthc

El Paso, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $781 $781 1.8×
Adm tocilizu covid-19 2nd (M0250) $781 $781 1.8×
Admin hepatitis b vaccine (G0010) $340 $340 7.2×
Admin influenza virus vac (G0008) $340 $340 7.2×
Admin pneumococcal vaccine (G0009) $340 $340 7.2×
Catheterize for urine spec (P9612) $172.50 $172.50 18.5×
Covid-19 lab test non-cdc (U0002) $98 $98 1.9×
Diab manage trn per indiv (G0108) $316 $316 5.7×
Diab manage trn ind/group (G0109) $357 $357 22.3×
Direct refer hospital observ (G0379) $1,040 $1,040 1.7×
Drug test def 1-7 classes (G0480) $345 $345 3.0×
Drug test def 8-14 classes (G0481) $428 $428 2.7×
Eia hiv-1/hiv-2 screen (G0432) $1,528 $1,528 78.1×
Elec stim other than wound (G0283) $654 $654 51.5×
Elec stim unattend for press (G0281) $718 $718 61.4×
Fecal blood scrn immunoassay (G0328) $338 $338 18.7×
Fern test (Q0114) $334 $334 34.3×
Group mnt 2 or more 30 mins (G0271) $312 $312 18.3×
Hbot, full body chamber, 30m (G0277) $3,535 $3,535 25.6×
Home sleep test/type 3 porta (G0399) $2,655 $2,655 12.2×
Inj for sacroiliac jt anesth (G0260) $12,109 $12,109 17.1×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $54,674 $54,674 1.7×
Lev 1 hosp type b ed visit (G0380) $166 $166 2.2×
Lev 2 hosp type b ed visit (G0381) $192 $192 2.1×
Lev 3 hosp type b ed visit (G0382) $390 $390 2.3×
Lev 4 hosp type b ed visit (G0383) $518 $518 2.0×
Lev 5 hosp type b ed visit (G0384) $773 $773 1.9×
Mnt subs tx for change dx (G0270) $155 $155 4.9×
Mra w/cont, abd (C8900) $10,023 $10,023 28.6×
Mra w/cont, chest (C8909) $8,127 $8,127 23.2×
Mra w/cont, lwr ext (C8912) $12,038 $12,038 34.3×
Mra w/cont, pelvis (C8918) $5,660 $5,660 16.2×
Mra w/o cont, abd (C8901) $7,450 $7,450 31.1×
Mra w/o cont, chest (C8910) $12,229 $12,229 51.0×
Mra w/o cont, lwr ext (C8913) $10,978 $10,978 45.8×
Mra w/o cont, pelvis (C8919) $5,660 $5,660 23.6×
Mra w/o fol w/cont, abd (C8902) $10,696 $10,696 30.5×
Mra w/o fol w/cont, chest (C8911) $11,394 $11,394 32.5×
Mra w/o fol w/cont, lwr ext (C8914) $13,095 $13,095 37.4×
Mra w/o fol w/cont, pelvis (C8920) $13,496 $13,496 38.5×
Oral hiv-1/hiv-2 screen (G0435) $1,040 $1,040 86.8×
Oth resp proc, group (G0239) $1,161.50 $1,161.50 31.0×
Oth resp proc, indiv (G0238) $600 $600 20.6×
Perc d-e cor revasc chro sin (C9607) $65,084 $65,084 3.5×
Perc d-e cor revasc t cabg s (C9604) $65,084 $65,084 5.6×
Perc d-e cor stent ather s (C9602) $65,084 $65,084 3.5×
Perc drug-el cor stent sing (C9600) $65,084 $65,084 5.6×
Perq Sacral Augmt Bilat Inj (0201T) $56,673 $56,673 7.8×
Perq Sacral Augmt Unilat Inj (0200T) $37,784 $37,784 5.2×
Pre 3d mdl w/ccta and/or mri (C9793) $1,582 $1,582 1.8×
Prostate biopsy, any mthd (G0416) $1,190 $1,190 3.3×
Psa screening (G0103) $389 $389 20.1×
Revasc intra lithotrip-ather (C9766) $22,224 $22,224 1.2×
Revasc intra lithotrip-stent (C9765) $20,672 $20,672 1.1×
Revasc intravasc lithotripsy (C9764) $43,254 $43,254 3.7×
Revasc lithotr-ather tib/per (C9774) $20,199 $20,199 1.1×
Revasc lithotrip tibi/perone (C9772) $11,266 $11,266 1.0×
Screen pap by tech w md supv (P3000) $342 $342 18.4×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $69,537 $69,537 3.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $69,539 $69,539 3.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $43,739 $43,739 7.7×
Therapeutic procd strg endur (G0237) $1,160 $1,160 39.9×
Trauma respons w/hosp criti (G0390) $17,005 $17,005 12.7×
Trim nail(s) (G0127) $322 $322 5.4×
Trluml Perip Athrc Renal Art (0234T) $69,744.50 $69,744.50 6.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $43,287.50 $43,287.50 3.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $69,744.50 $69,744.50 3.8×
Unsched dialysis esrd pt hos (G0257) $9,990 $9,990 14.5×