Supplies, drugs & other prices at Lourdes Medical Center
Pasco, WA · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Catheterize for urine spec (P9612) | $106.29 | $265.72 | 11.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,583.50 | $3,958.75 | 1.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,583.50 | $3,958.75 | 1.5× |
| Crown porcelain/ceramic (D2740) | $582.90 | $1,457.26 | 0.8× |
| Crown resin-based indirect (D2710) | $688.20 | $1,720.51 | 1.0× |
| Drug test def 1-7 classes (G0480) | $77.65 | $194.14 | 0.7× |
| Elec stim other than wound (G0283) | $21.48 | $53.71 | 1.7× |
| Extraction erupted tooth/exr (D7140) | $774.19 | $1,935.47 | 1.1× |
| Home sleep test/type 3 porta (G0399) | $180.47 | $451.19 | 0.8× |
| Hospital outpt clinic visit (G0463) | $112.73 | $281.82 | 0.8× |
| Lev 2 hosp type b ed visit (G0381) | $899.11 | $2,247.77 | 8.7× |
| Lev 3 hosp type b ed visit (G0382) | $899.11 | $2,247.77 | 4.7× |
| Lev 4 hosp type b ed visit (G0383) | $899.11 | $2,247.77 | 3.1× |
| Lev 5 hosp type b ed visit (G0384) | $1,309.21 | $3,273.02 | 2.9× |
| Place device/marker, non pro (C9728) | $1,059.80 | $2,649.50 | 0.7× |
| Post 1 srfc resinbased cmpst (D2391) | $624.50 | $1,561.26 | 0.9× |
| Post 3 srfc resinbased cmpst (D2393) | $4,874.96 | $12,187.40 | 6.8× |
| Ppps, subseq visit (G0439) | $202.38 | $505.95 | 1.5× |
| Prefab stnlss steel crwn pri (D2930) | $937.09 | $2,342.74 | 1.3× |
| Prefabricated resin crown (D2932) | $767.48 | $1,918.71 | 1.1× |
| Psa screening (G0103) | $90.90 | $227.25 | 4.7× |
| Therapeutic pulpotomy (D3220) | $599.80 | $1,499.50 | 0.8× |
| Tomosynthesis, mammo (G0279) | $41.05 | $102.62 | 3.2× |
| Tte w or wo fol wcon,doppler (C8929) | $932.62 | $2,331.56 | 1.1× |