Supplies, drugs & other prices at Longview Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $24.16 $134.23 0.7×
2d tte w or w/o fol w/con,fu (C8924) $180.59 $1,003.28 0.5×
Adm tocilizu covid-19 1st (M0249) $206.69 $1,148.26 0.5×
Adm tocilizu covid-19 2nd (M0250) $206.69 $1,148.26 0.5×
Admin influenza virus vac (G0008) $55.61 $308.97 1.2×
Admin pneumococcal vaccine (G0009) $53.43 $296.84 1.1×
Ca screen;flexi sigmoidscope (G0104) $1,641.36 $9,118.65 1.8×
Catheterize for urine spec (P9612) $52.09 $289.41 5.6×
Colon ca scrn not hi rsk ind (G0121) $2,053.72 $11,409.57 2.2×
Colorectal scrn; hi risk ind (G0105) $2,253.87 $12,521.48 2.4×
Direct refer hospital observ (G0379) $202.12 $1,122.90 0.3×
Eia hiv-1/hiv-2 screen (G0432) $22.92 $127.34 1.2×
Elec stim other than wound (G0283) $26.61 $147.82 2.1×
Elisa hiv-1/hiv-2 screen (G0433) $95.01 $527.82 5.2×
Hbot, full body chamber, 30m (G0277) $119.17 $662.06 0.9×
Hospital outpt clinic visit (G0463) $94.61 $525.62 0.7×
Inj for sacroiliac jt anesth (G0260) $624.28 $3,468.19 0.9×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $18,080.24 $100,445.79 5.5×
Mra w/cont, abd (C8900) $408.01 $2,266.74 1.2×
Mra w/cont, lwr ext (C8912) $487.99 $2,711.05 1.4×
Mra w/o cont, abd (C8901) $551.54 $3,064.12 2.3×
Mra w/o cont, chest (C8910) $775.34 $4,307.47 3.2×
Mra w/o cont, lwr ext (C8913) $487.99 $2,711.05 2.0×
Mra w/o cont, pelvis (C8919) $2,682.60 $14,903.32 11.2×
Mra w/o fol w/cont, abd (C8902) $959.55 $5,330.86 2.7×
Mra w/o fol w/cont, lwr ext (C8914) $486.35 $2,701.95 1.4×
Mri w/o fol w/cont, breast, (C8908) $1,370.89 $7,616.07 3.9×
Njx pltlt plasma w/img harvest/preparation (0232T) $19,864.94 $110,360.76 44.3×
Oth resp proc, group (G0239) $56.91 $316.14 1.5×
Perc d-e cor revasc chro sin (C9607) $9,933.96 $55,188.67 0.5×
Perc d-e cor revasc t cabg s (C9604) $8,863.32 $49,240.68 0.8×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$8,863.32 $49,240.68 0.5×
Perc drug-el cor stent sing (C9600) $9,933.96 $55,188.67 0.9×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $6,420.51 $35,669.50 0.6×
Prostate biopsy, any mthd (G0416) $479.46 $2,663.64 1.3×
Psa screening (G0103) $81.07 $450.38 4.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $41,902.23 $232,790.14 2.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $70,739.94 $392,999.66 3.7×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $14,517.50 $80,652.80 4.6×
Tee w or w/o fol w/cont, mon (C8927) $1,198.14 $6,656.35 1.5×
Tomosynthesis, mammo (G0279) $13.94 $77.45 1.1×
Trauma respons w/hosp criti (G0390) $1,207.67 $6,709.27 0.9×
Tte w or w/o contr, cont ecg (C8930) $722.90 $4,016.13 0.9×
Tte w or w/o fol w/con,stres (C8928) $722.90 $4,016.13 0.9×
Tte w or wo fol wcon,doppler (C8929) $1,031.15 $5,728.59 1.3×
Unsched dialysis esrd pt hos (G0257) $734.45 $4,080.28 1.1×