Supplies, drugs & other prices at Ochsner LSU Health - Monroe Medical Center

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

51 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) $375.84 $1,634.10 0.5×
Admin hepatitis b vaccine (G0010) $18.40 $80 0.4×
Behavior counsel obesity 15m (G0447) $26.45 $115 0.3×
Ca screen;flexi sigmoidscope (G0104) $305.90 $1,330 0.4×
Ca screen;pelvic/breast exam (G0101) $26.45 $115 0.3×
Catheterize for urine spec (P9612) $3.45 $15 0.4×
Colon ca scrn not hi rsk ind (G0121) $343.83 $1,494.90 0.4×
Colorectal scrn; hi risk ind (G0105) $312.46 $1,358.54 0.4×
Covid-19 lab test non-cdc (U0002) $42.55 $185 0.8×
Depression screen annual (G0444) $9.43 $41 0.3×
Diab manage trn per indiv (G0108) $36.75 $159.78 0.7×
Diab manage trn ind/group (G0109) $27.32 $118.78 1.7×
Direct refer hospital observ (G0379) $268.95 $1,169.35 0.5×
Elec stim other than wound (G0283) $15.15 $65.88 1.2×
Esd endoscopy or colonoscopy (C9779) $1,721.55 $7,485 0.5×
Fern test (Q0114) $5.17 $22.48 0.5×
Followup eval of foot pt lop (G0246) $98.90 $430 0.8×
Group mnt 2 or more 30 mins (G0271) $18.31 $79.60 1.1×
Hospital outpt clinic visit (G0463) $64.31 $279.63 0.5×
Ig paraprotein qual bld/ur (0077U) $53.13 $231 1.2×
Initial foot exam pt lops (G0245) $75.27 $327.24 0.6×
Inj for sacroiliac jt anesth (G0260) $754.30 $3,279.58 1.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $75.21 $327 0.6×
Liver dis 10 assays w/nash (0003M) $173.67 $755.10 0.3×
Mnt subs tx for change dx (G0270) $18.31 $79.60 0.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $95.68 $416 0.2×
Obtaining screen pap smear (Q0091) $8.74 $38 0.3×
Pelvic ring fracture uni/bil (G0413)
unusually low: confirm this is the full procedure
$2,207.08 $9,596 0.3×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$6,702.13 $29,139.71 0.4×
Perc d-e cor revasc t cabg s (C9604) $6,702.13 $29,139.71 0.6×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$6,702.13 $29,139.71 0.4×
Perc drug-el cor stent sing (C9600) $6,702.13 $29,139.71 0.6×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $9,003.18 $39,144.24 0.8×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
unusually low: confirm this is the full procedure
$5,658.92 $24,604 0.3×
Place device/marker, non pro (C9728) $865.49 $3,763.02 0.7×
Potassium hydroxide preps (Q0112) $2.07 $9 0.4×
Prolonged iv inf, req pump (C8957) $198.98 $865.14 1.0×
Prostate biopsy, any mthd (G0416) $166.52 $724 0.5×
Psa screening (G0103) $6.67 $29 0.3×
Revasc intra lithotrip-stent (C9765) $11,852.54 $51,532.80 0.7×
Revasc intravasc lithotripsy (C9764)
likely a partial charge, not the full procedure
$3,041.84 $13,225.40 0.3×
Revasc lith-sten-ath tib/per (C9775) $11,084.16 $48,192 0.7×
Revasc lithotr-ather tib/per (C9774) $11,084.16 $48,192 0.7×
Revasc lithotr-stent tib/per (C9773) $11,084.16 $48,192 0.7×
Revasc lithotrip tibi/perone (C9772) $6,929.65 $30,128.92 0.7×
Routine footcare pt w lops (G0247) $84.41 $367 0.5×
Therapeutic procd strg endur (G0237) $16.22 $70.54 0.6×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $321.66 $1,398.51 0.7×
Trim nail(s) (G0127) $19.78 $86 0.4×
Tte w or wo fol wcon,doppler (C8929) $597.41 $2,597.45 0.8×
Wet mounts/ w preparations (Q0111) $5.52 $24 0.3×