Supplies, drugs & other prices at Leonard J. Chabert Medical Center

Houma, LA · every code in this section with a posted price and a Medicare benchmark.

71 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) $808.40 $1,720 1.1×
2d tte w or w/o fol w/con,co (C8923) $618.52 $1,316 0.8×
2d tte w or w/o fol w/con,fu (C8924) $618.52 $1,316 1.9×
Admin hepatitis b vaccine (G0010) $54.05 $115 1.2×
Alveoplasty w/ extraction (D7310) $71.44 $152 0.0×
Alveoplasty w/o extraction (D7320) $26.32 $56 0.0×
Ca screen;flexi sigmoidscope (G0104) $579.51 $1,233 0.7×
Catheterize for urine spec (P9612) $3.76 $8 0.4×
Colon ca scrn not hi rsk ind (G0121) $795.71 $1,693 0.9×
Colorectal scrn; hi risk ind (G0105) $795.71 $1,693 0.9×
Covid-19 lab test non-cdc (U0002) $86.95 $185 1.7×
Diab manage trn per indiv (G0108) $32.90 $70 0.6×
Diab manage trn ind/group (G0109) $19.27 $41 1.2×
Direct refer hospital observ (G0379) $104.81 $223 0.2×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$4,042 $8,600 0.1×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $3,265.56 $6,948 1.1×
Esw integ wnd hlg 1st wnd (0512T) $388.69 $827 2.1×
Extraction erupted tooth/exr (D7140) $213.65 $454.58 0.4×
Group mnt 2 or more 30 mins (G0271) $17.86 $38 1.0×
Hbot, full body chamber, 30m (G0277) $167.32 $356 1.3×
Ig paraprotein qual bld/ur (0077U) $122.67 $261 2.8×
Impact tooth rem bony w/comp (D7241) $41.36 $88 0.1×
Impact tooth remov part bony (D7230) $41.36 $88 0.1×
Impact tooth remov soft tiss (D7220) $41.36 $88 0.1×
Initial preventive exam (G0402) $42.30 $90 0.3×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $9,152.31 $19,473 0.9×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T)
unusually low: confirm this is the full procedure
$3,869.98 $8,234 0.4×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $9,152.31 $19,473 1.2×
Insertion wrls car stimulator lv pacg compl sys (0515T)
unusually low: confirm this is the full procedure
$9,152.31 $19,473 0.4×
Insertion/replacement complete iims (0525T) $9,152.31 $19,473 0.5×
Insertion/replacement iims implantable mntr only (0527T)
likely a partial charge, not the full procedure
$46.06 $98 0.0×
Interrog dev eval iims ip (0529T) $3,869.98 $8,234 111.3×
Interrog dev eval wcs ip (0521T) $46.06 $98 1.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $152.28 $324 1.2×
Limit oral eval problm focus (D0140) $10.81 $23 0.1×
Mnt subs tx for change dx (G0270) $32.90 $70 1.0×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $699.36 $1,488 1.3×
Oral antral fistula closure (D7260) $41.36 $88 0.1×
Osseous surgery 4 or more (D4260)
likely a partial charge, not the full procedure
$1,038.70 $2,210 0.2×
Pathogen test for platelets (P9100) $67.21 $143 1.2×
Perc drug-el cor stent sing (C9600) $17,496.69 $37,227 1.6×
Periodic oral evaluation (D0120) $26.32 $56 0.2×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$2,961 $6,300 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$2,961 $6,300 0.4×
Place direct restoration (D2940) $66.74 $142 0.1×
Potassium hydroxide preps (Q0112) $7.05 $15 1.2×
Prgrmg dev eval iims ip (0528T) $46.06 $98 1.3×
Prolonged iv inf, req pump (C8957) $384.46 $818 1.9×
Prostate biopsy, any mthd (G0416) $339.34 $722 1.0×
Rem imp tooth w mucoper flp (D7210) $901.93 $1,919 0.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $27,189.97 $57,851 2.8×
Removal complete iims (0530T) $3,869.98 $8,234 1.1×
Removal iims electrode only (0531T) $3,869.98 $8,234 1.1×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,869.98 $8,234 1.1×
Revasc intravasc lithotripsy (C9764) $5,902.26 $12,558 0.5×
Screen cerv/vag thin layer (G0123) $40.89 $87 2.0×
Tee w or w/o fol w/cont, mon (C8927) $618.52 $1,316 0.8×
Tee w or w/o fol w/cont,cong (C8926) $808.40 $1,720 1.1×
Therapeutic procd strg endur (G0237) $76.61 $163 2.8×
Tooth root removal (D7250) $1,038.70 $2,210 1.7×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $195.05 $415 0.4×
Trim nail(s) (G0127) $39.01 $83 0.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $18,979.54 $40,382 1.1×
Tte w or w/o contr, cont ecg (C8930) $808.40 $1,720 1.1×
Tte w or w/o fol w/con,stres (C8928) $808.40 $1,720 1.1×
Tte w or w/o fol w/cont, com (C8921) $808.40 $1,720 1.1×
Tte w or w/o fol w/cont, f/u (C8922) $618.52 $1,316 0.8×
Tte w or wo fol wcon,doppler (C8929) $808.40 $1,720 1.1×
Unsched dialysis esrd pt hos (G0257) $595.96 $1,268 0.9×
Unscheduled dressing change (D4920) $31.49 $67 0.1×
Wet mounts/ w preparations (Q0111) $7.52 $16 0.4×