Supplies, drugs & other prices at Lawrence County Hospital

Monticello, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $71
Admin influenza virus vac (G0008) $143
Admin pneumococcal vaccine (G0009) $143
Direct refer hospital observ (G0379) $1,500
Drug test def 1-7 classes (G0480) $286
Drug test def 15-21 classes (G0482) $497
Drug test def 22+ classes (G0483) $617
Drug test def 8-14 classes (G0481) $391
Elec stim other than wound (G0283) $25
Fecal blood scrn immunoassay (G0328) $47.76
Hospital outpt clinic visit (G0463) $337.75
Ig paraprotein qual bld/ur (0077U) $252.78
Psa screening (G0103) $110
Trauma respons w/hosp criti (G0390) $500
Trim nail(s) (G0127) $91