Supplies, drugs & other prices at Lawrence + Memorial Hospital

New London, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $869.76 $2,416.01 0.9×
2d tte w or w/o fol w/con,co (C8923) $743.22 $2,064.49 0.8×
2d tte w or w/o fol w/con,fu (C8924) $564.16 $1,567.11 1.3×
3D cntr simula trgt lvr les (0944T) $364.05 $1,011.26 1.3×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $2,010.46 $5,584.61 1.0×
Adm tocilizu covid-19 1st (M0249) $334.37 $928.80 0.6×
Adm tocilizu covid-19 2nd (M0250) $334.37 $928.80 0.6×
Admin hepatitis b vaccine (G0010) $51.84 $144 0.9×
Admin influenza virus vac (G0008) $51.84 $144 0.9×
Admin pneumococcal vaccine (G0009) $51.84 $144 0.9×
Adrnl Cortcl Tum Bchm Asy 25 (0015M) $2,819.60 $7,832.22 2.2×
Behavior counsel obesity 15m (G0447) $93 $258.32 0.8×
Catheterize for urine spec (P9612) $23.04 $64 2.5×
Colon ca scrn not hi rsk ind (G0121) $883.62 $2,454.50 0.8×
Colorectal scrn; hi risk ind (G0105) $883.62 $2,454.50 0.8×
Complex simulation w/pet-ct (G0562) $2,937.60 $8,160.01 1.3×
Comt gene (0032U) $377.59 $1,048.86 2.2×
Covid-19 lab test non-cdc (U0002) $110.83 $307.86 2.2×
Cyp2d6 3' gene dup/mlt (0076U) $973.97 $2,705.46 2.2×
Cyp2d6 full gene sequence (0071U) $1,296 $3,600 2.2×
Cyp2d6 gen com&slct rar vrnt (0070U) $1,460.96 $4,058.22 2.2×
Cysto impl 4 or more (C9740)
unusually low: confirm this is the full procedure
$5,039.15 $13,997.63 0.4×
Cystoscopy prostatic imp 1-3 (C9739) $4,411.90 $12,255.27 0.7×
Diab manage trn per indiv (G0108) $77.31 $214.76 1.4×
Diab manage trn ind/group (G0109) $43.76 $121.56 2.7×
Direct refer hospital observ (G0379) $630.90 $1,752.49 0.9×
Drug test def 1-7 classes (G0480) $247.17 $686.58 2.2×
Drug test def 22+ classes (G0483) $533.35 $1,481.52 2.2×
Flt3 gene itd variants quan (0046U) $880.05 $2,444.58 2.2×
Hbot, full body chamber, 30m (G0277) $407.35 $1,131.52 2.5×
Heart symp image plnr spect (0332T) $1,507.95 $4,188.76 1.0×
Hopd mntl hlt, 15-29 min (C7900) $44.09 $122.47 1.0×
Hopd mntl hlt, 30-60 min (C7901) $112.68 $313.01 0.9×
Hpv combo assay ca screen (G0476) $129.96 $361 3.7×
Ig paraprotein qual bld/ur (0077U) $93.81 $260.58 2.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $263.33 $731.46 2.2×
Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) $356.15 $989.31 1.2×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $725.38 $2,014.95 1.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $574.17 $1,594.92 1.1×
Obtaining screen pap smear (Q0091) $16.56 $46 0.5×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $697.59 $1,937.76 2.2×
Onc Merkel Cll Carc Srm Quan (0058U) $697.59 $1,937.76 2.2×
Oth resp proc, group (G0239) $37.56 $104.34 0.8×
Oth resp proc, indiv (G0238) $42.90 $119.18 1.2×
Pathogen test for platelets (P9100) $51.70 $143.60 0.7×
Pemivibart infusion (M0224) $678.59 $1,884.96 1.3×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,529.01 $9,802.80 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$2,575.74 $7,154.82 0.3×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $8,586.94 $23,852.61 0.6×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $54.35 $150.96 1.2×
Prolonged iv inf, req pump (C8957) $369.78 $1,027.18 1.5×
Prostate biopsy, any mthd (G0416) $369.45 $1,026.24 0.9×
Psa screening (G0103) $68.04 $189 3.5×
Quan MRI alys brain with diagnostic MRI (0866T) $353.10 $980.84 1.2×
Quan MRI alys brn w/o dx MRI (0865T) $353.10 $980.84 1.2×
Quan us tiss charac i&r w/o dx us same anat (0689T) $119.10 $330.82 1.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $921.07 $2,558.52 1.3×
Revasc intra lithotrip-ather (C9766) $15,125.19 $42,014.42 0.7×
Revasc intra lithotrip-stent (C9765) $15,125.19 $42,014.42 0.7×
Revasc intravasc lithotripsy (C9764) $7,562.09 $21,005.81 0.5×
Revasc lith-sten-ath tib/per (C9775) $24,539.75 $68,165.98 1.1×
Revasc lithotr-ather tib/per (C9774) $24,539.75 $68,165.98 1.1×
Revasc lithotr-stent tib/per (C9773) $24,539.75 $68,165.98 1.1×
Revasc lithotrip tibi/perone (C9772) $15,341.84 $42,616.21 1.1×
Revasc lithotrip-stent-ather (C9767) $24,332.20 $67,589.45 1.1×
Sbrt w/positron emission del (G0563) $5,648.54 $15,690.40 1.5×
Scr c/v cyto,thinlayer,rescr (G0145) $64.08 $178 2.4×
Screen cerv/vag thin layer (G0123) $59.04 $164 2.9×
Smmg cncrnt appl imu snr (0778T) $216.05 $600.15 1.4×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $28,078.76 $77,996.56 1.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,593.25 $12,759.04 1.2×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $28,078.76 $77,996.56 1.2×
Therapeutic procd strg endur (G0237) $37.56 $104.34 1.1×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $596.35 $1,656.54 1.3×
Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, initial… (0766T) $216.05 $600.15 0.8×
Trauma respons w/hosp criti (G0390) $1,154.58 $3,207.16 0.7×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $7,560 $21,000 2.2×
Trim nail(s) (G0127) $82 $227.78 1.2×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$8,170.66 $22,696.27 0.4×
Tte w or w/o contr, cont ecg (C8930) $869.76 $2,416.01 0.9×
Tte w or w/o fol w/con,stres (C8928) $869.76 $2,416.01 0.9×
Tte w or w/o fol w/cont, com (C8921) $869.76 $2,416.01 0.9×
Tte w or wo fol wcon,doppler (C8929) $869.76 $2,416.01 0.9×
Visit esketamine 56m or less (G2082) $567.42 $1,576.16 0.5×
Visit esketamine, > 56m (G2083) $829.10 $2,303.06 0.4×
Visit to determ ldct elig (G0296) $112.68 $313.01 0.9×
Wet mounts/ w preparations (Q0111) $15.84 $44 0.9×