Supplies, drugs & other prices at Ochsner Lafayette General Medical Center
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
59 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $529.20 | $2,520 | 1.7× |
| Admin hepatitis b vaccine (G0010) | $12.96 | $48 | 0.3× |
| Admin pneumococcal vaccine (G0009) | $18.48 | $88 | 0.4× |
| Behavior counsel obesity 15m (G0447) | $25.08 | $76 | 0.3× |
| Ca screen;flexi sigmoidscope (G0104) | $494.76 | $2,356 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $11.22 | $34 | 0.1× |
| Catheterize for urine spec (P9612) | $3.36 | $16 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,029 | $4,900 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,029 | $4,900 | 1.2× |
| Covid-19 lab test non-cdc (U0002) | $21 | $100 | 0.4× |
| Cysto impl 4 or more (C9740) | $12,999.90 | $61,904.29 | 1.5× |
| Cysto, litho, vacuum kidney (C9761) | $9,608.69 | $45,755.65 | 1.1× |
| Depression screen annual (G0444) | $3.63 | $11 | 0.1× |
| Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $910.80 | $2,760 | 1.4× |
| Diab manage trn per indiv (G0108) | $21.12 | $64 | 0.4× |
| Diab manage trn ind/group (G0109) | $5.94 | $18 | 0.4× |
| Direct refer hospital observ (G0379) | $374.85 | $1,785 | 0.7× |
| Drug test def 1-7 classes (G0480) | $11.13 | $53 | 0.1× |
| Group mnt 2 or more 30 mins (G0271) | $5.94 | $18 | 0.3× |
| Hbot, full body chamber, 30m (G0277) | $102.06 | $486 | 0.8× |
| Home sleep test/type 3 porta (G0399) | $134.19 | $639 | 0.7× |
| Ig paraprotein qual bld/ur (0077U) | $44.10 | $210 | 1.0× |
| Initial preventive exam (G0402) | $98.72 | $357.50 | 0.8× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $91.14 | $434 | 0.7× |
| Liver dis 10 assays w/nash (0003M) | $290.85 | $1,385 | 0.6× |
| Mnt subs tx for change dx (G0270) | $10.56 | $32 | 0.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $312.48 | $1,488 | 0.6× |
| Obtaining screen pap smear (Q0091) | $35.31 | $107 | 1.3× |
| Onc thyr DNA&mrna 112 genes fna ndul alg alys (0026U) | $2,079 | $9,900 | 0.6× |
| Oth resp proc, group (G0239) | $8.40 | $40 | 0.2× |
| Perc d-e cor revasc chro sin (C9607) | $9,282.84 | $44,204 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $9,177.84 | $43,704 | 0.9× |
| Perc d-e cor stent ather s (C9602) | $9,282.84 | $44,204 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $9,282.84 | $44,204 | 0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$2,688.84 | $12,804 | 0.4× |
| Ppps, initial visit (G0438) | $134.64 | $408 | 0.8× |
| Ppps, subseq visit (G0439) | $88.77 | $269 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $242.13 | $1,153 | 0.7× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$6,378.96 | $30,376 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$5,342.82 | $25,442 | 0.3× |
| Revasc intravasc lithotripsy (C9764) likely a partial charge, not the full procedure |
$2,637.18 | $12,558 | 0.3× |
| Revasc lithotr-ather tib/per (C9774) | $9,018.45 | $42,945 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $8,545.95 | $40,695 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $5,342.82 | $25,442 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) | $8,545.95 | $40,695 | 0.5× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $428.82 | $2,042 | 0.6× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $73,904.39 | $351,925.69 | 4.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $2,693.04 | $12,824 | 0.5× |
| Therapeutic procd strg endur (G0237) | $24.78 | $118 | 0.9× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $79.80 | $380 | 0.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,234.84 | $15,404 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $3,234.84 | $15,404 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $1,169.91 | $5,571 | 1.0× |
| Trim nail(s) (G0127) | $17.64 | $84 | 0.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $7,653.66 | $36,446 | 0.7× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$7,001.19 | $33,339 | 0.4× |
| Tte w or w/o fol w/cont, com (C8921) | $546.63 | $2,603 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $432.39 | $2,059 | 0.6× |
| Unsched dialysis esrd pt hos (G0257) | $387.87 | $1,847 | 0.6× |