Supplies, drugs & other prices at Memorial Hospital Los Banos
Los Banos, CA · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $4,972 | $4,972 | 4.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $3,387 | $3,387 | 3.4× |
| Adm tocilizu covid-19 1st (M0249) | $1,093 | $1,093 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $1,189 | $1,189 | 2.1× |
| Admin hepatitis b vaccine (G0010) | $139 | $139 | 2.3× |
| Admin influenza virus vac (G0008) | $182 | $182 | 3.0× |
| Admin pneumococcal vaccine (G0009) | $170 | $170 | 2.8× |
| Behavior counsel obesity 15m (G0447) | $58 | $58 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $141 | $141 | 1.1× |
| Catheterize for urine spec (P9612) | $140 | $140 | 15.0× |
| Chemo extend iv infus w/pump (G0498) | $1,306 | $1,306 | 3.1× |
| Direct refer hospital observ (G0379) | $1,035 | $1,035 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $114 | $114 | 6.3× |
| Hep c screen high risk/other (G0472) | $158 | $158 | 3.4× |
| Hepb screen high risk indiv (G0499) | $169 | $169 | 6.0× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$122–$995 | $122–$995 | varies |
| Initial preventive exam (G0402) | $324 | $324 | 1.9× |
| Inj for sacroiliac jt anesth (G0260) | $4,829 | $4,829 | 5.3× |
| Mra w/cont, abd (C8900) | $4,158 | $4,158 | 9.3× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$4,956–$7,434 | $4,956–$7,434 | varies |
| Mra w/cont, pelvis (C8918) | $3,893 | $3,893 | 8.7× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$3,957–$5,936 | $3,957–$5,936 | varies |
| Obtaining screen pap smear (Q0091) | $96 | $96 | 2.6× |
| Ppps, initial visit (G0438) | $353 | $353 | 2.0× |
| Ppps, subseq visit (G0439) | $289 | $289 | 2.1× |
| Prostate biopsy, any mthd (G0416) | $505.06 | $505.06 | 1.1× |
| Psa screening (G0103) | $239 | $239 | 12.4× |
| Tee w or w/o fol w/cont, mon (C8927) | $16,417 | $16,417 | 16.3× |
| Tee w or w/o fol w/cont,cong (C8926) | $8,094 | $8,094 | 8.0× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$177–$266 | $177–$266 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $5,589 | $5,589 | 5.5× |
| Unsched dialysis esrd pt hos (G0257) | $2,368 | $2,368 | 2.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.